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

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

三叶草健康公司通过新的Medicare Advantage Network合同加强在佐治亚州的业务
GlobeNewswire ·  2021/11/10 09:06
  • 5,000 primary care physicians and specialists in network
  • Facilitates ease and access to local care for GA members
  • 网络中有5000名初级保健医生和专科医生
  • 为会员方便地获得当地护理提供便利

NASHVILLE, Tenn., Nov. 10, 2021 (GLOBE NEWSWIRE) --  Clover Health (Nasdaq: CLOV) ("Clover"), a technology company committed to improving health equity for America's underserved seniors, today announced it has significantly increased the breadth and depth of its provider network throughout Georgia with the addition of dozens of hospitals, health systems and key provider partners across the region.

田纳西州纳什维尔,2021年11月10日(环球通讯社)亚洲网加利福尼亚州米尔皮塔斯2月4日电致力于改善美国服务不足的老年人的健康公平的技术公司三叶草健康(纳斯达克代码:CLOV)今天宣布,该公司在佐治亚州增加了数十家医院、健康系统和主要供应商合作伙伴,大大扩大了其在佐治亚州的供应商网络的广度和深度。

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, offering Clover members in-network access to nearly 15,000 providers statewide.

这些合同使大约5000名新的初级保健医生(PCP)和专科医生与三叶草的Medicare Advantage PPO网络保持一致,并补充了亚特兰大、萨凡纳和梅肯市场现有的强大网络,为三叶草会员提供与全州近15,000家供应商的网络内接入。

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

最近,医疗保险和医疗补助服务中心(CMS)批准三叶草的服务区扩展到佐治亚州的另外78个县。从2022年1月1日开始,这项已获批准的服务范围扩大后,三叶草的联邦医疗保险优势(MA)计划将在佐治亚州159个县中的146个县向60多万名符合条件的个人提供。

Individuals eligible for Medicare in these new counties can sign up for Clover's plans during the Annual Election Period, which runs from October 15 to December 7, with coverage starting on January 1, 2022.

在这些新的县,有资格享受医疗保险的个人可以在年度选举期间报名参加三叶草的计划,选举期间从10月15日到12月7日,保险范围从2022年1月1日开始。

Such significant network growth with local hospitals and 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 technology-driven 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 in- and out-of-network cost-sharing parity, which means that seeing a PCP costs the same for Clover members in the state regardless of whether their PCP is in Clover's network or not. One important advantage of this approach is that it often allows people to continue seeing their existing PCP rather than switching to a new one with whom they do not have an existing relationship.

与佐治亚州当地医院和卫生系统的网络显著增长表明,克洛弗公司在服务该州当地医疗保险人口方面的深度投资,以及克洛弗公司技术驱动型方法的潜力。重要的是,尽管三叶草提供了强大的网络,但该公司也为其并购计划的开放性而自豪。三叶草在佐治亚州的并购计划有网内和网外费用分摊平价,这意味着无论他们的PCP是否在三叶草的网络中,观看PCP对该州的三叶草会员来说都是一样的。这种方法的一个重要优点是,它通常允许人们继续查看他们现有的PCP,而不是切换到与他们没有现有关系的新的PCP。

"With our wide network we strive to empower members to see the physician they choose and trust, whereas HMOs tend to dictate that choice through narrow networks. It's essential as an insurer to foster the trusting relationships seniors already have in place with their doctors, because we believe it encourages them to engage more regularly with the healthcare system and that it can ultimately lead to improved health outcomes," said Andrew Toy, President 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." 

克洛弗总裁安德鲁·托伊(Andrew Toy)表示:“通过我们广泛的网络,我们努力让会员能够看到他们选择和信任的医生,而医疗保健组织倾向于通过狭窄的网络来决定这一选择。作为一家保险公司,培养老年人与医生之间已经存在的信任关系是至关重要的,因为我们相信这会鼓励他们更频繁地参与医疗体系,这最终可以带来更好的健康结果,”三叶草总裁安德鲁·托伊(Andrew Toy)说。通过加强我们在佐治亚州数以千计的临床医生的供应商网络,并向他们提供我们的临床支持技术,我们相信我们可以让当地的医疗保险人群更容易获得高质量的、数据驱动的医疗服务。“

The key agreements supporting Clover's 2022 expansion counties in Georgia and neighboring states serving Georgia-based patients include:

支持克洛弗公司在佐治亚州和邻近州为佐治亚州患者服务的2022年扩张县的主要协议包括:

  • Aiken Regional Medical Centers in Aiken, SC
  • Archbold Medical Center in Thomasville, GA
  • Augusta University Health in Augusta, GA
  • Crisp Regional Health Services in Cordele, GA
  • Emory Healthcare in Atlanta, GA with hospitals and physicians across the state, including Columbus, GA
  • Grady Health in Atlanta, GA
  • HCA Healthcare in Savannah, GA with hospitals and physicians across the state, including Augusta, Dublin, Vidalia, and Waycross, GA
  • Navicent Health in Macon, GA
  • Northside Hospital in Atlanta, GA
  • Phoebe Putney Health System in Albany, GA
  • Piedmont Healthcare in Atlanta, GA, with hospitals and physicians across the state, including Athens, Augusta, Columbus, and Macon, GA
  • Southeast Georgia Health System in Brunswick, GA
  • St. Joseph's/Candler Health System in Savannah, GA
  • Tanner Health System in Carrollton, GA
  • Wellstar Health System in Marietta, GA, with hospitals and physicians across the state
  • 南卡罗来纳州艾肯的艾肯地区医疗中心
  • 佐治亚州托马斯维尔的阿奇博尔德医疗中心
  • 佐治亚州奥古斯塔的奥古斯塔大学健康
  • 佐治亚州科代尔的CRISP地区卫生服务
  • 位于佐治亚州亚特兰大的Emory Healthcare与全州的医院和医生合作,包括佐治亚州哥伦布市
  • 佐治亚州亚特兰大的格雷迪健康公司
  • 位于佐治亚州萨凡纳的HCA Healthcare与全州的医院和医生合作,包括奥古斯塔、都柏林、维达利亚和佐治亚州韦克罗斯
  • 佐治亚州梅肯的Navicent Health
  • 佐治亚州亚特兰大的北区医院
  • 佐治亚州奥尔巴尼的菲比·帕特尼医疗系统(Phoebe Putney Health System)
  • 位于佐治亚州亚特兰大的Piedmont Healthcare,与该州各地的医院和医生合作,包括雅典、奥古斯塔、哥伦布和佐治亚州梅肯
  • 佐治亚州布伦瑞克市的佐治亚州东南部医疗系统
  • 佐治亚州萨凡纳的圣约瑟夫/坎德勒医疗系统
  • 佐治亚州卡罗尔顿的坦纳医疗系统
  • 位于佐治亚州玛丽埃塔的Wellstar Health System,与全州的医院和医生合作

These providers may also contract with other Plans/Part D sponsors.

这些供应商也可以与其他计划/D部分赞助商签订合同。

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.

关于三叶草健康公司:三叶草健康(纳斯达克代码:CLOV)是下一代风险承担组织,旨在实现所有美国人的健康公平。虽然我们的使命是改善每一个人的生活,但我们特别关注那些历来无法获得负担得起的高质量医疗保健的老年人。

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.

我们的目标是以可持续的方式提供巨大的护理,建立一个围绕改善医疗结果同时降低可避免成本的商业模式。我们这样做的同时,采取全面的方法来了解我们所照顾的人的健康需求和社会风险因素。这一战略得到了该公司专有软件平台Clover Assistant的支持,该平台旨在通过在护理时向医生和其他提供者提供实时、个性化的建议,从整个健康生态系统中收集患者数据,以支持临床决策。

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 affordable Medicare Advantage plans with extensive benefits, provide primary care physicians with the Clover Assistant, and also make comprehensive home-based care available via the Clover Home Care program.

让医疗更容易获得是我们业务的核心,我们相信患者应该有选择医生的自由。我们提供负担得起的联邦医疗保险优势计划和广泛的福利,为初级保健医生提供三叶草助手,并通过三叶草家庭护理计划提供全面的居家护理。

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 Arizona, Georgia, Mississippi, New Jersey, New York, Pennsylvania, South Carolina, Tennessee, and Texas.

公司总部设在纳什维尔,克洛弗的员工分布在美国各地,还包括一支以香港为基地的世界级技术人员团队。该公司管理着亚利桑那州、佐治亚州、密西西比州、新泽西州、纽约、宾夕法尼亚州、南卡罗来纳州、田纳西州和德克萨斯州的医疗保险受益人。

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

媒体联系人:安德鲁·斯蒂尔-巴克斯特电子邮件:press@cloverHealth.com


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