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
Clover Health
Hospitals and Health Care
Nashville, Tennessee 40,045 followers
Clover is a healthcare technology company helping members live their healthiest lives with our Medicare Advantage plans.
About us
Clover Health (Nasdaq: CLOV) is a physician enablement company focused on seniors who have historically lacked access to affordable, high-quality healthcare We aim to provide great care, in a sustainable way, by having a business model built around improving medical outcomes while lowering avoidable costs. We do this while taking a holistic approach to understanding the health needs and social risk factors of those under our care. This strategy is underpinned by our proprietary software platform, the Clover Assistant, which is designed to aggregate patient data from across the health ecosystem to support clinical decision-making by presenting physicians and other providers with real-time, personalized recommendations at the point of care. Making care more accessible is at the heart of our business, and we believe patients should have the freedom to choose their doctors. We offer affordable Medicare Advantage plans with extensive benefits, provide primary care physicians with the Clover Assistant, and also make comprehensive home-based care available via the Clover Home Care program. With our corporate headquarters in Nashville, Clover’s workforce is distributed around the U.S. and also includes a team of world-class technologists based in Hong Kong. We manage care for Medicare Advantage members in Alabama, Arizona, Georgia, Mississippi, New Jersey, Pennsylvania, South Carolina, Tennessee, and Texas. We are hiring software engineers, data scientists, designers and product folks who can help us understand our members’ wellness and steer them clear of any health risks down the road. If you’re a passionate person and interested in changing healthcare for the better, then Clover Health may just be the place for you.
- Website
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http://www.cloverhealth.com
External link for Clover Health
- Industry
- Hospitals and Health Care
- Company size
- 501-1,000 employees
- Headquarters
- Nashville, Tennessee
- Type
- Public Company
- Founded
- 2014
- Specialties
- Medicare Advantage, Engineers, Heathcare, Complex Care, Home Care, Start-ups, Artificial Intelligence, Machine Learning, Hedis, STARS, and Insurance
Locations
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Primary
Nashville, Tennessee, US
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30 Montgomery St
Jersey City, New Jersey, US
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Suite 501, 8 Queen’s Road East
Wan Chai, HK
Employees at Clover Health
Updates
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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
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Clover Health reposted this
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
Medallion Elevate 2024
elevate.medallion.co
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Clover Health reposted this
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!
Clover Health
cloverhealth.com
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🍀 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
Thomas L. Tran, Former Chief Financial Officer of Molina Healthcare, Joins Clover Health’s Board of Directors | Clover Health
investors.cloverhealth.com
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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
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A strong start to a big year! So proud of what this team has already accomplished, and incredibly excited for more to come.
Today we announced our First Quarter 2024 results, which contained a number of milestones for Clover that exceeded our expectations. First, in Q1 2024 we were profitable on an Adjusted EBITDA, and announced that we have high confidence in achieving Adjusted EBITDA profitability for full year 2024. Secondly, we grew revenues in our Insurance business by 8% year over year. Thirdly, we improved our full-year 2024 financial guidance based on a number of metrics, including Adjusted EBITDA. Fourthly, we announced that our Board of Directors has authorized a share repurchase program of up to $20 million dollars of the Company’s Class A Common Stock over the next two years. I’m glad to have delivered an Adjusted EBITDA profitable first quarter, and am very much looking forward to an Adjusted EBITDA profitable Clover for the full year 2024. Our way of achieving that has been focused on our technology platform, bringing the power of data and AI to empower physicians to identify and manage chronic diseases earlier. I’m incredibly proud of our achievements, this inflection point and the Clover team.
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Clover Health reposted this
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 think it makes sense': Clover Health CEO Andrew Toy defends MA rate cut
fiercehealthcare.com
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Clover Health reposted this
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.
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This morning we announced a new partnership with Quartet Health to provide Clover members suffering from serious mental illness additional support and resources. There are many great things about our work together, but as Noah Tong notes in his article for Fierce Healthcare, one thing we're most excited about is Clover Assistant's potential to drive enrollment in the program by using AI to identify members suffering from severe mental illness. https://lnkd.in/gFgRAU9N Press Release: https://lnkd.in/guqwxUnK -------------------- This document may contain forward-looking statements that are subject to risks and uncertainties. Actual results may differ materially from those expressed or implied including due to risk factors described in Clover Health’s most recent Annual Report on Form 10-K filed with the Securities and Exchange Commission (the “SEC”) and Clover Health’s other filings with the SEC. We do not undertake to update any such statements.
Clover Health, Quartet Health team up against serious mental illness
fiercehealthcare.com