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CMS Approves Clover Health's Expansion Plans for 2022

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Clover Health (Nasdaq: CLOV) announced a significant expansion, gaining approval from the Centers for Medicare and Medicaid Services (CMS) to operate in 101 new counties starting January 1, 2022. This expansion nearly doubles their geographic footprint to 209 counties across nine states, including their new entry into Alabama. Eligible Medicare beneficiaries can enroll in Clover’s Medicare Advantage plans during the Annual Election Period from October 15 to December 7. This move aims to enhance access to affordable healthcare for underserved communities.

Positive
  • Clover Health expands service area to 101 new counties, increasing total coverage to 209 counties.
  • New entry into Alabama marks Clover's geographic growth, enhancing their market presence.
  • Expansion aligns with Clover's mission to improve health equity for underserved seniors.
Negative
  • None.

Expansion marks Clover’s entry into Alabama and nearly doubles company’s geographic footprint based on number of counties

NASHVILLE, Tenn., Sept. 22, 2021 (GLOBE NEWSWIRE) -- Today, Clover Health (Nasdaq: CLOV) (“Clover”), a technology company committed to improving health equity for America’s underserved seniors, announces that the Centers for Medicare and Medicaid Services (CMS) has approved the company’s service area expansion to operate in 101 new counties.

With this approved service area expansion beginning January 1, 2022, Clover’s Medicare Advantage (MA) plans will be available to eligible individuals in 101 new counties across Georgia, New Jersey, South Carolina, Texas, and Alabama – a new state for the company. This will bring Clover’s total coverage area for its Medicare Advantage plans to 209 counties across nine states. Individuals eligible for Medicare in any of the 209 counties can sign up for Clover’s plans during the Annual Election Period, which runs from October 15 to December 7.

“With CMS’ approval of our significant expansion efforts, we will be bringing affordable, wide network plans to additional previously underserved communities, which we believe is the key to achieving health equity for America’s aging population. Nearly doubling our service counties in one year demonstrates the differentiated scalability of our approach as compared to certain other plans which are constrained to narrow service areas orbiting specific providers,” said Andrew Toy, President of Clover.

The list of new 2022 counties includes:

AlabamaChambers, Cherokee, Clay, Cleburne, Macon, Randolph, Russell
GeorgiaBaker, Banks, Barrow, Berrien, Brantley, Brooks, Burke, Calhoun, Camden, Carroll, Catoosa, Chattahoochee, Chattooga, Clarke, Clay, Colquitt, Columbia, Cook, Coweta, Crisp, Dade, Decatur, Dougherty, Echols, Elbert, Fannin, Fayette, Franklin, Gilmer, Glascock, Grady, Greene, Habersham, Hall, Hancock, Haralson, Harris, Hart, Jackson, Jefferson, Laurens, Lee, Lincoln, Lumpkin, Madison, Marion, McDuffie, Miller, Mitchell, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Pierce, Putnam, Quitman, Rabun, Randolph, Richmond, Schley, Spalding, Stephens, Stewart, Sumter, Talbot, Taliaferro, Terrell, Thomas, Tift, Troup, Walton, Warren, Webster, White, Wilkes, Worth
New JerseyCape May, Sussex
South CarolinaAiken, Bamberg, Barnwell, Edgefield, McCormick, Calhoun, Orangeburg, Saluda
TexasComal, Guadalupe, Wilson, Atascosa, Medina, Bandera

About Clover Health:
Clover Health (Nasdaq: CLOV) is a next-generation risk-bearing organization aiming to achieve health equity for all Americans. While our mission is to improve every life, we particularly focus on seniors who have historically lacked access to affordable high quality healthcare.

We aim to provide great care, in a sustainable way, by having a business model built around improving medical outcomes while lowering avoidable costs. We do this while taking a holistic approach to understanding the health needs and social risk factors of those under our care. This strategy is underpinned by the company’s proprietary software platform, the Clover Assistant, which is designed to aggregate patient data from across the health ecosystem to support clinical decision-making by presenting physicians and other providers with real-time, personalized recommendations at the point of care.

Making care more accessible is at the heart of our business, and we believe patients should have the freedom to choose their doctors. We offer two models of care: affordable Medicare Advantage plans with extensive benefits; and care coordination for Original Medicare beneficiaries through Direct Contracting. For both programs, we provide primary care physicians with the Clover Assistant and also make comprehensive home-based care available via the Clover Home Care program.

With its corporate headquarters in Nashville, Clover’s workforce is distributed around the U.S. and also includes a team of world-class technologists based in Hong Kong. The company manages care for Medicare beneficiaries in eleven states, including Arizona, Georgia, Kansas, Mississippi, New Jersey, New York, Pennsylvania, South Carolina, Tennessee, Texas and Vermont.

Press Contact:
Andrew Still-Baxter
press@cloverhealth.com


FAQ

What is the significance of Clover Health's recent expansion to new counties?

Clover Health's expansion into 101 new counties allows the company to nearly double its geographic footprint and improve access to Medicare Advantage plans for underserved seniors.

When does Clover Health's service area expansion take effect?

The expansion takes effect on January 1, 2022.

How many counties will Clover Health cover after the expansion?

After the expansion, Clover Health will cover a total of 209 counties across nine states.

What are the key states involved in Clover Health's expansion?

The key states involved in the expansion include Georgia, New Jersey, South Carolina, Texas, and Alabama.

What is Clover Health's mission in relation to healthcare?

Clover Health aims to achieve health equity for America's underserved seniors by providing affordable Medicare Advantage plans.

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