MobiHealth News December 4, 2023
Jessica Hagen

The company’s CEO said it is leaving the CMS program at the end of the performance year due to not seeing a clear path to profitability.

Medicare Advantage insurtech company Clover Health announced it delivered notice to the Centers for Medicare and Medicaid Services that it will be exiting the ACO REACH Program at the end of the 2023 performance year.

The Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) program provides tools and resources to healthcare providers to improve the quality of care for individuals with traditional Medicare.

In a statement, the company’s CEO, Andrew Toy, said that in 2021 Clover entered the program as it felt it would garner benefits, like expanding the...

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