Clover Health Launches Community Pharmacy Pilot in New Jersey
Clover Health has initiated a community pharmacy pilot program in New Jersey through a strategic partnership with IPC Digital Health. The program utilizes IPC's iCare+ Independent Pharmacy Network to support Medicare Advantage members in improving medication management and health outcomes. Leveraging Clover Assistant's data alongside AI models, the program offers real-time monitoring of prescription fills and identifies adherence gaps. This facilitates cooperation among local pharmacists, doctors, and Clover's care teams to enhance patient care.
This initiative addresses a notable issue within Medicare Advantage: approximately half of patients do not adhere to prescribed medication regimens, contributing to preventable hospitalizations and increased healthcare expenses. By focusing on community-based care delivery, Clover Health aims to improve medication adherence leveraging trusted local pharmacies rather than centralized systems.
The New Jersey pilot serves as a targeted geographical approach to test this localized care model, potentially enabling broader application. It aligns with value-based care principles by aiming to reduce avoidable hospital admissions through effective medication management.
The program empowers independent pharmacies as integral extensions of Clover’s care management infrastructure, expanding the reach of care without the need for significant capital investment. This collaboration combines technology, local healthcare relationships, and data-driven monitoring to maintain personalized and accessible services for senior populations.
Clover Health’s platform aggregates patient data across the healthcare ecosystem to support clinical decisions and chronic disease management. Their strategic focus includes PPO and HMO Medicare Advantage plans with a robust network and choice options. Beyond their own plans, Clover extends data-driven benefits through Counterpart Health to broader healthcare providers nationwide.
IPC Digital Health, part of the Independent Pharmacy Cooperative, provides digital health solutions through its iCare+ platform, aimed at enhancing the clinical and financial viability of independent community pharmacies.
This community-centered model reflects a strategic shift from more centralized care approaches, emphasizing the role of local pharmacists in delivering connected healthcare. Real-time tools from the partnership allow for timely intervention and stronger care coordination.
Overall, this initiative highlights innovations in medication adherence and senior care management within Medicare Advantage, showcasing a scalable approach that integrates technology with existing community pharmacy networks to improve outcomes and efficiencies.