By Shelby Livingston | August 27,
2018
Medicare Advantage insurer Clover Health is launching plans in six
new cities in 2019.
The San Francisco-based company, which uses data analytics and artificial intelligence technology to care for its members, will start serving seniors in Camden, N.J.; Charleston, S.C.; El Paso, Texas; Nashville; Philadelphia; and Tucson, Ariz., next year.
The new 2019 markets were chosen based on a "receptive customer base and the company's ability to deliver high-quality Medicare Advantage plans through top local health care providers." Clover currently serves 30,000 members in parts of Georgia, New Jersey, Pennsylvania and Texas.
Clover joins a slew of other health insurers that are busy investing in the lucrative Medicare Advantage market, where enrollment has grown steadily over the past decade and shows no signs of slowing. About 21.4 million seniors are currently enrolled in Advantage plans, up 7.8% over last year, according to the latest data from the CMS. That represents about one-third of all Medicare beneficiaries.
Most recently, Affordable Care Act exchange insurer Oscar Health said it plans to move into Medicare Advantage in 2020, though it hasn't specified which states or cities.
In addition to its Medicare expansion, Clover also announced it has partnered with Taiwan-based Cathay Life Insurance, which will leverage Clover's artificial intelligence technology to improve health outcomes for its policyholders.
Clover said its AI technology has an 85% accuracy rate in identifying patients at risk of being admitted to the hospital in the next 28 days.
"Expanding into new cities and deploying our AI platform with international partners are both core to Clover's mission of improving the health of our customers by uniting cutting-edge technology with committed, personalized medical care," Clover CEO Vivek Garipalli said in the announcement. "We are already seeing the extremely positive results that our technology is having on the lives of our members and are optimistic about how we can begin to impact health on a global scale."
The San Francisco-based company, which uses data analytics and artificial intelligence technology to care for its members, will start serving seniors in Camden, N.J.; Charleston, S.C.; El Paso, Texas; Nashville; Philadelphia; and Tucson, Ariz., next year.
The new 2019 markets were chosen based on a "receptive customer base and the company's ability to deliver high-quality Medicare Advantage plans through top local health care providers." Clover currently serves 30,000 members in parts of Georgia, New Jersey, Pennsylvania and Texas.
Clover joins a slew of other health insurers that are busy investing in the lucrative Medicare Advantage market, where enrollment has grown steadily over the past decade and shows no signs of slowing. About 21.4 million seniors are currently enrolled in Advantage plans, up 7.8% over last year, according to the latest data from the CMS. That represents about one-third of all Medicare beneficiaries.
Most recently, Affordable Care Act exchange insurer Oscar Health said it plans to move into Medicare Advantage in 2020, though it hasn't specified which states or cities.
In addition to its Medicare expansion, Clover also announced it has partnered with Taiwan-based Cathay Life Insurance, which will leverage Clover's artificial intelligence technology to improve health outcomes for its policyholders.
Clover said its AI technology has an 85% accuracy rate in identifying patients at risk of being admitted to the hospital in the next 28 days.
"Expanding into new cities and deploying our AI platform with international partners are both core to Clover's mission of improving the health of our customers by uniting cutting-edge technology with committed, personalized medical care," Clover CEO Vivek Garipalli said in the announcement. "We are already seeing the extremely positive results that our technology is having on the lives of our members and are optimistic about how we can begin to impact health on a global scale."
Shelby
Livingston is an insurance reporter. Before joining Modern Healthcare in 2016,
she covered employee benefits at Business Insurance magazine. She has a
master’s degree in journalism from Northwestern University’s Medill School of
Journalism and a bachelor’s in English from Clemson University.
http://www.modernhealthcare.com/article/20180827/NEWS/180829915?utm_source=modernhealthcare&utm_medium=email&utm_content=20180827-NEWS-180829915&utm_campaign=hits
No comments:
Post a Comment