Healthcare DIVE December 6, 2023
Rebecca Pifer

The beleaguered insurer will leave the accountable care program at the end of the 2023 performance year following disappointing results in Medicare direct contracting.

Dive Brief:

  • Clover Health is exiting a value-based payment program in traditional Medicare as the insurer and physician enablement company chases profitability.
  • Clover has given the CMS notice that it will exit the ACO REACH program at the end of the 2023 performance year, the company said Friday.
  • ACO REACH this year replaced the previous direct contracting arrangement, where accountable care organizations take on risk to care for Medicare seniors. Clover Health has had some of the worst performance in the program.

Dive Insight:

When Clover went public in early 2021, the Tennessee-based startup...

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Topics: ACO (Accountable Care), Insurance, Medicare Advantage, Payer, Payment Models, Value Based
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