Clover Well being set to triple geographic footprint in wake of membership surge


Medicare Benefit startup Clover Well being introduced plans to triple its geographic footprint following an enormous improve in membership.

The growth will add 74 extra counties to the insurer’s attain, with 69 positioned within the states it already serves: Arizona, Georgia, New Jersey, Pennsylvania, South Carolina, Tennessee and Texas. As well as, Clover will add 5 counties in Mississippi, a brand new marketplace for the 2021 plan 12 months.

Clover presently serves 57,000 members in 34 counties throughout seven states. Throughout open enrollment in 2019, the insurer’s membership grew by 37%, spurring the expansion forward of enrollment this 12 months.

The expanded footprint will put it inside attain of 5 million Medicare Benefit enrollees, Clover stated.

RELATED: Clover Well being launches drug improvement subsidiary

MA is a rising enterprise line for a lot of insurers at each the nationwide and regional ranges. Cigna, for instance, unveiled plans to considerably scale up its MA enterprise forward of 2019 open enrollment, and UnitedHealthcare added lots of of hundreds of MA members within the 2020 plan 12 months.

Clover plans tout a broad PPO community and entry to the insurer’s Clover Assistant device, which it calls a “GPS for healthcare.” Clover Assistant makes use of machine studying to supply care suggestions and evidence-based steerage to main care physicians.

“We knew that if we wished to efficiently deliver nice healthcare to each senior, together with these in historically underserved communities, it was important for us to actively present worth to the system, and we couldn’t play the identical video games as different insurers who shuffle danger and exploit flaws within the MA program,” Andrew Toy, president and chief expertise officer of Clover Well being, stated in an announcement.

MA open enrollment begins Oct. 15.


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