Clover Health Strengthens Presence Across Georgia With New Medicare Advantage Network Contracts

• 5,000 general practitioners and specialists in a network
• Facilitates and facilitates access to local care for GA members

NASHVILLE, Tennessee, November 10, 2021 (GLOBE NEWSWIRE) – Health Clover (Nasdaq: CLOV) (“Clover”), a technology company committed to improving health equity for America’s underserved seniors, today announced that it has dramatically increased the scope and depth of its supplier network throughout Georgia with the addition of dozens of hospitals, healthcare systems and key supplier 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, providing Clover members with access networked with nearly 15,000 providers across the state.

Recently, the Centers for Medicare and Medicaid Services (CMS) approved the expansion of the Clover service area to operate in 78 more counties in Georgia. With this service area extension approved effective January 1, 2022, Clover’s Medicare Advantage (MA) plans will be available to more than 600,000 eligible people in 146 of Georgia’s 159 counties.

Those eligible for Medicare in these new counties can enroll in Clover’s plans during the annual election period, which runs from October 15 to December 7, with coverage beginning January 1, 2022.

Such significant network growth with hospitals and local 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 technological 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 cost-sharing parity inside and outside the network, which means seeing a PCP costs the same price for Clover members in the state, as their PCP either or not in the Clover network. An important advantage of this approach is that it often allows people to continue to see their existing PCP rather than switching to a new one with whom they do not have an existing relationship.

“With our extensive network, we strive to empower members to see the doctor they choose and trust, while HMOs tend to dictate that choice through close networks. It is essential as an insurer to foster the trusting relationships that older people already have in place with their physicians, as we believe this encourages them to engage more regularly with the healthcare system and may ultimately lead to to better health outcomes, ”said Andrew Toy, chairman 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. ”

Major agreements supporting the 2022 expansion of Clover Counties in Georgia and neighboring states serving Georgia-based patients include:

• Aiken Regional Medical Centers in Aiken, South Carolina
• Archbold Medical Center in Thomasville, Georgia
• Augusta Health University in Augusta, Georgia
• Crisp Regional Health Services in Cordele, Georgia
• Emory Health in Atlanta, GA with hospitals and doctors across the state including Columbus, GA
• Grady Health in Atlanta, Georgia
• HCA Health in Savannah, GA with hospitals and doctors across the state including Augusta, Dublin, Vidalia and Waycross, GA
• Navicent Health in Macon, Georgia
• Northside Hospital in Atlanta, Georgia
• Phoebe Putney’s Health System in Albany, Georgia
• Piedmont health care in Atlanta, GA, with hospitals and doctors across the state, including Athens, Augusta, Columbus, and Macon, GA
• Southeast Georgia Health System in Brunswick, Georgia
• St. Joseph’s / Candler Health System in Savannah, Georgia
• Tanner Health System in Carrollton, Georgia
• Wellstar Health System in Marietta, GA, with hospitals and doctors across the state

These providers may also enter into contracts with other plan sponsors / Party D.

About Clover Health:
Clover Health (Nasdaq: CLOV) is a next-generation, risk-taking organization dedicated to achieving health equity for all Americans. While our mission is to improve every life, we have a special focus on older people who historically lack access to affordable, high quality health care.

We aim to provide quality care in a sustainable manner by having a business model built around improving medical outcomes while reducing avoidable costs. We do this while taking a holistic approach to understanding the health needs and social risk factors of the people we care for. This strategy is underpinned by the company’s proprietary software platform, Clover Assistant, which is designed to aggregate patient data from across the healthcare ecosystem to support clinical decision making by presenting to physicians and other providers real-time personalized recommendations when it comes to caring.

Making healthcare more accessible is at the heart of our business, and we believe that patients should have the freedom to choose their doctor. We offer affordable Medicare Advantage plans with extensive benefits, provide primary care physicians with the Clover Assistant, and also make comprehensive home care available through the Clover Home Care program.

Headquartered in Nashville, Clover’s workforce is spread across the United States and also includes a world-class team of Hong Kong-based technologists. The company manages Medicare care in Arizona, Georgia, Mississippi, New Jersey, New York, Pennsylvania, South Carolina, Tennessee and Texas.

Press contact:
Andrew Still-Baxter
[email protected]