Becker's Healthcare September 13, 2024
Some Medicare Advantage plans say the turbulence facing the industry is not slowing them down.
Peter Kuipers, CFO of Clover Health, told Becker’s new risk adjustment from CMS and the two-midnight rule could have “very little impact” on the company.
Clover Health is able to avoid the pressures other plans are facing because of its technology and focus on PPO plans, executives say.
“We don’t really have a direct competitor, or peer, the way we approach a health plan,” Mr. Kuipers told Becker’s. “We do, of course, have competition. But if you just look at a plan basis, the technology [we use] is not available.”
Medicare Advantage plans have faced challenges in the past years. Most...
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