Clover Health Strengthens Presence Across Georgia with New Medicare Advantage Network Contracts
November 10 2021 - 9:00AM
Clover Health (Nasdaq: CLOV) (“Clover”), a technology
company committed to improving health equity for America’s
underserved seniors, today announced it has significantly increased
the breadth and depth of its provider network throughout Georgia
with the addition of dozens of hospitals, health systems and key
provider partners across the region.
These contracts align approximately 5,000 new primary care
physicians (PCPs) and specialists with Clover’s Medicare Advantage
PPO network and complement the strong existing network in the
Atlanta, Savannah, and Macon markets, offering Clover members
in-network access to nearly 15,000 providers statewide.
Recently, the Centers for Medicare and Medicaid Services (CMS)
approved Clover’s service area expansion to operate in 78
additional counties in Georgia. With this approved service area
expansion beginning January 1, 2022, Clover’s Medicare Advantage
(MA) plans will be available to more than 600,000 eligible
individuals in 146 of Georgia’s 159 counties.
Individuals eligible for Medicare in these new counties can sign
up for Clover’s plans during the Annual Election Period, which runs
from October 15 to December 7, with coverage starting on January 1,
2022.
Such significant network growth with local hospitals and health
systems in Georgia demonstrates Clover’s deep investment in serving
the state’s local Medicare population as well as the potential of
Clover’s technology-driven approach. Importantly, while Clover
offers a strong network, the company also prides itself on the open
nature of its MA plans. Clover's MA plans in Georgia have in- and
out-of-network cost-sharing parity, which means that seeing a PCP
costs the same for Clover members in the state regardless of
whether their PCP is in Clover’s network or not. One important
advantage of this approach is that it often allows people to
continue seeing their existing PCP rather than switching to a new
one with whom they do not have an existing relationship.
“With our wide network we strive to empower members to see the
physician they choose and trust, whereas HMOs tend to dictate that
choice through narrow networks. It’s essential as an insurer to
foster the trusting relationships seniors already have in place
with their doctors, because we believe it encourages them to engage
more regularly with the healthcare system and that it can
ultimately lead to improved health outcomes,” said Andrew Toy,
President of Clover. “By strengthening our provider network with
thousands of clinicians across Georgia and providing them with our
clinical support technology, we believe we can make quality,
data-driven care more accessible to the local Medicare
population.”
The key agreements supporting Clover’s 2022 expansion counties
in Georgia and neighboring states serving Georgia-based patients
include:
- Aiken Regional Medical Centers in Aiken,
SC
- Archbold Medical Center in Thomasville,
GA
- Augusta University Health in Augusta, GA
- Crisp Regional Health Services in Cordele,
GA
- Emory Healthcare in Atlanta, GA with hospitals
and physicians across the state, including Columbus, GA
- Grady Health in Atlanta, GA
- HCA Healthcare in Savannah, GA with hospitals
and physicians across the state, including Augusta, Dublin,
Vidalia, and Waycross, GA
- Navicent Health in Macon, GA
- Northside Hospital in Atlanta, GA
- Phoebe Putney Health System in Albany, GA
- Piedmont Healthcare in Atlanta, GA, with
hospitals and physicians across the state, including Athens,
Augusta, Columbus, and Macon, GA
- Southeast Georgia Health System in Brunswick,
GA
- St. Joseph’s/Candler Health System in
Savannah, GA
- Tanner Health System in Carrollton, GA
- Wellstar Health System in Marietta, GA, with
hospitals and physicians across the state
These providers may also contract with other Plans/Part D
sponsors.
About Clover Health: Clover Health (Nasdaq:
CLOV) is a next-generation risk-bearing organization aiming to
achieve health equity for all Americans. While our mission is to
improve every life, we particularly focus 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 the
company’s 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 its 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. The company manages
care for Medicare beneficiaries in Arizona, Georgia, Mississippi,
New Jersey, New York, Pennsylvania, South Carolina, Tennessee, and
Texas.
Press Contact: Andrew
Still-Baxterpress@cloverhealth.com
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