Clover Health Investor Presentation Deck
Clover Assistant Is Ready For Next-Generation Medicare
The Problem
% of premiums arrangements drives
risk adjustment, not value
Vertical payor/providers can avoid
regulation around loss ratios and
puts pressure on employed.
physicians to focus on coding
Star rating system promotes health
inequity
Focus on risk adjustment, not
clinical value
The Solution
Materially increase risk adjustment
intensity factor on these
arrangements
Risk adjustment audits
Materially increase risk adjustment
intensity factor on these
arrangements
Make the Health Equity Summary
Score a high weight measure
Changes to health risk assessment
policies
Clover
Clover focused on building open networks without
capitation contracts.
The Clover Assistant's payment model is based on
fixed payments, not capitation.
Clover uses software to align with providers, not M&A.
Upside for quality payments, given high minority and
low-income population and high health equity scores.
Demonstrable clinical value separate from risk scoring
impact.
We believe our strategy sets us up well to execute and scale in the long-term.
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