Clover Health

Big news from Counterpart Health. It announced it signed a deal with The Iowa Clinic to bring #AI technology to hundreds of physicians across the Midwest. Together, we're driving innovation in #ValueBasedCare and improving patient outcomes. ????

We love seeing Jamie Reynoso, Our CEO of Medicare Advantage, as the headline image for the Fierce Healthcare Payer summit from her keynote last year?? This year, she's passing the torch to Jessica J. Son, MD, MBA, Chief Medical Officer of Clover Care Services, who will discuss our integrated care model on a panel about evolving payer strategies alongside executives from Health Management Associates and Humana. Shaping up to be a great event! https://lnkd.in/eWAKDMV6

At Clover Health, we're pioneering a unique approach to health plans that sets us apart in the industry. Our CFO, Peter Kuipers, recently spoke to Rylee Wilson at Becker's Healthcare about our journey and the transformative impact of our proprietary technology on Medicare Advantage plans. We believe the things differentiating us from others in the market, and give us a distinct edge, are our innovative tools and focus on PPO plans. When asked about what attracted him to Clover, and the components of his professional background that will be most valuable to the company, "Building and scaling platforms," responded Kuipers. Stay tuned. https://lnkd.in/g4gKfSEV #HealthcareInnovation #MedicareAdvantage #PPO #CloverHealth

Why attend #Elevate2024? ??? Now in its third year, Elevate is a free must-attend event for anyone looking to transform healthcare operations. Here's what you can expect this year: - Connections with industry leaders from VillageMD, Wellville, Clover Health Transformation Capital and many more. - Cutting-edge strategies to transform the way you work. - Actionable insights that can make a real difference in your organization in 2025+ Whether you're looking to improve OpEx, boost provider satisfaction, or just stay ahead of industry trends, Elevate offers the tools and knowledge you need to succeed. It's all coming on October 30th. Don't miss out—join us and be part of the conversation that's shaping the future of healthcare operations. Register at: https://hubs.la/Q02LWPMV0 #freeevent #virtualevent #healthcare #healthcareevent #futureofwork

Do you thrive at the intersection of healthcare data and platform development? You might be the right fit for our new clincal data platform product manager role! https://lnkd.in/giN2hm59 Come lead a pod driving a clinical data platform that is scalable, secure, and efficient. Previous PM experience is welcome, but not required. If you are an engineer or a solutions architect or an integration specialist who knows healthcare and data products, please do apply as well!

?? Exciting News from Clover Health! ?? We are delighted to welcome Tom Tran, the former Chief Financial Officer of Molina Healthcare, to our Board of Directors! With over 35 years of financial leadership experience in the healthcare industry, Tom will also be joining our Audit Committee. Tom's impressive track record in strategic financial planning and execution will be a significant asset as we continue to advance Clover's mission of empowering physicians and improving health outcomes through innovative technology. Tom shares our passion for using technology to drive better health outcomes and is excited to help shape our vision of leading in value-based care. His experience will be invaluable as we continue to push the boundaries of what’s possible in Medicare. Tom, welcome to the Clover Health family! ?? #HealthcareInnovation #MedicareAdvantage #BoardOfDirectors #ValueBasedCare #CloverHealth https://lnkd.in/dRwcKPNp

Clover CEO Andrew Toy recently sat down with Clover Co-founder and Executive Chairperson Vivek Garipalli to discuss the company Toy sold to Google before joining Clover, as well as his vision for the future of healthcare. One topic was the importance of moving away from the reactive model to focus on the early identification and management of disease. Take a listen here: https://lnkd.in/g_YAJjn8

A strong start to a big year! So proud of what this team has already accomplished, and incredibly excited for more to come.

Clover Health CEO Andrew Toy diverged from the traditional insurance opinion on Tuesday, choosing to defend the CMS rate notice that solidified a cut of 0.16% for MA benchmark payments

I’m getting a lot of pings about where we stand regarding the CMS rate notice that came out. In short, I think the CMS rate makes sense, is appropriate, and I feel good about what it means for Clover. As a quick summary, CMS set the rate at the same amount as the previous (advanced) rate notice, which is a relatively rare departure from the norm. Normally CMS is conservative in its initial notice then revises its rate upwards after that - they chose not to do this in this case. A few thoughts : Firstly, CMS noted that one of the reasons they did not increase the rate was because they did not see Fee-for-service trending in Q4 that was elevated. That was consistent with what we saw in our Q4 Clover results, though deviated from what Humana, United and others saw, where they said they saw elevated utilization in their MA plans. My view is that this corroborates our Clover view that other managed care orgs are seeing a challenge in managing care and cost on their PPO plans - an area they have pushed hard into in the last few years as they chased growth. For Clover - where we have always been PPO first - we have Clover Assistant and our Home-Care practice, which serve as the basis of our platform and we’ve demonstrated a differentiated ability to manage that PPO cost. Secondly, if you look at what this means for the future, you can see that starting in 2025 there will be an impedance mismatch between CMS’ rate setting (based on the secular trend in FFS) and the MA plans PPO-performance (which is loosely managed and trends upwards). This rate notice means CMS does not intend to adjust for this lack of PPO care management via its rates. That is fine for Clover but challenging for other plans, who will have to pull back on benefits even more if they’re not given grace via the rate. This impedance mismatch gives us a durable advantage in designing plan products that can lead to better growth. Ultimately, Clover’s advantage sits around believing the future of Medicare is hybridizing the benefits (Vision, dental, grocery etc) of MA with the wide network of Original Medicare. This rate notice emphasizes why we feel we’re in a good place to achieve that.