Clover Health Investor Presentation Deck
Clover Is Well Positioned To Navigate The Long-Term
Headwinds That Are Facing The Medicare Industry
Macro-Headwinds
COVID-19 has driven policy makers to
prioritize health equity
Increased scrutiny on practices that
incentivize providers to upcode risk scores
directly or indirectly
Narrow network plans face growth
challenges due to a limited future customer
base
Primary care models focused on the at-risk
population take patients away from their
existing PCPs, creating friction in the
community
Why Now?
Clover Tailwind
Clover has been identified as a high
performing MA plan based on a prototype
of the Health Equity Summary Score
Clover's payment model does not
incentivize risk adjustment upcoding
Clover Assistant's ability to drive clinical
value allows for wide networks
Home-based primary care is offered as a service to
existing PCPs, helping to ensure continuity and
coordination of care, while driving significant clinical
value
Underlying incumbent and new upstart strategies include some or all of the problems above.
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