Quartet Health Launches Innovative Whole Health Program to Improve Outcomes for Patients with Serious Mental Illness

Partnership with Clover Health Supports Underserved Patient Population With a New Whole-Person Care Delivery Solution

Quartet Health, a leading value-based behavioral health care enablement and delivery company, today launched their Whole Health program in partnership with Clover Health, a physician enablement company, to better serve patients living with serious mental illnesses (SMI). The first-of-its-kind, whole-person care delivery solution is the only fully integrated physical and behavioral health model that takes accountability for the total cost of care (TCOC) risk on health plans’ most complex members, while also providing wraparound care services for a traditionally underserved patient population. The program was launched first in the New Jersey market.

“Patients with serious mental illness often have worse outcomes and a lower life expectancy, and they experience a fragmented healthcare system that does not adequately address their behavioral, physical, and social needs” said Dr. Michael J. Lipp, Quartet Health’s Chief Medical Officer, and former CMO of the CMS Innovation Center. Clover Health’s members with SMI average at least four different chronic conditions, with more than five different providers prescribing medications. Additionally, one in five members with SMI did not see a primary care physician (PCP) last year, and one in three did not see a behavioral health provider. “Patients often struggle to get access to care, and the care they do receive is often uncoordinated. This program will provide care that is coordinated, comprehensive and convenient, at no additional cost to patients.”    

The partnership with Clover Health gives Quartet Health the opportunity to address the unique needs of this complex patient population with a health equity-based focus, through 24/7 care access, medication support, mental and physical care coordination, as well as local community resource and transportation support. Care teams – both in-market and virtual – will be led by nurse practitioners, trained in both mental health and family medicine, along with care coordinators, social workers, case managers, therapists, peers, and supervising psychiatrists and internal medicine physicians. 

“For far too long, behavioral healthcare solutions for individuals living with SMI have not adequately accounted for the interconnectedness of both their physical and mental health needs,” said Christina Mainelli, Quartet Health CEO. “Patients are often forced to navigate an incredibly fragmented healthcare system, a system that fails to meet their needs, contributes to unnecessary hospitalizations and, ultimately, worse outcomes. That’s why it was so critical for us, in developing our Whole Health program, to take an approach that treats the whole person in a way that improves quality and patient outcomes, while also lowering the cost of care.”

“We’re confident that additional behavioral health support for our SMI cohort will increase the quality of life for these members, while continuing to reduce unnecessary spend,” said Brady Priest, CEO of Clover Home Care.

For New Jersey residents who are interested in learning more about the program, including eligibility, visit https://www.quartethealth.com/whole-health or call 888-528-7618.