Clover Health Investor Day Presentation Deck
Step 3: Clover Leverages Technology To Impute Best-In-
Class Complex Care Protocols At Scale
Cost Structure
Member
Identification
Member
Engagement
Care Delivery
Approach
Typical MA Insurer
With 3rd Party Vendors
~5% of membership account for 40%+ of costs
Complex care savings shared with vendors
Eligible members identified via 3rd party
vendors with access to latent claims data
Via 3rd party vendors, often creating friction
with members' chosen providers
Brick-and-mortar care
Clover
With The Clover Assistant
~5% of membership account for 40%+ of costs
Complex care savings retained by Clover
Eligible members identified immediately via
closed loop system
Via conversations and collaboration with
members' chosen PCPs
Asset-light, software-driven care at the Home
Clover generates program savings across a greater scale of the eligible population by having more
accurate identification and higher engagement.
16View entire presentation