“At the core we’re using data and software to build clinical profiles of people, identify gaps in care, and fill those gaps in care,” Kris Gale, Clover Health’s CTO, said. “We have a small team that will do targeted interventions to drive improved health outcomes of people. Every in-patient hospital admission we can prevent by filling these gaps in care, this ends up being a positive for us.” Clover Health’s goal is to essentially go after the bigger, traditional Medicare health insurance companies that Gale argues don’t use data to aim for better patient outcomes. To do that, it collects information like lab test results, radiology results and such to get an overall profile of a person’s health — something only an insurance provider can do because it’s taking in all the claims, Clover Health CEO Vivek Garipalli said.

http://techcrunch.com/2015/09/17/clover-health-a-data-driven-health-insurance-startup-raises-100m/#.bultfn:JZgz