Latest / Becker’s Payer Issues Podcast / Peter Kuipers, CFO of Clover Health

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Peter Kuipers, CFO of Clover Health · Becker’s Payer Issues Podcast

• 0:00
  Evernorth brings the power of wonder and relentless
• 0:02
  innovation to create world class pharmacy, care, and
• 0:05
  benefit solutions.
• 0:07
  Barriers to care can lead to gaps in
• 0:08
  care, which can drive up the total cost
• 0:10
  of care. Our capabilities work seamlessly together to
• 0:13
  create innovative pharmacy care and benefit solutions for
• 0:17
  today and tomorrow.
• 0:18
  Our connected health services make the treatment, prediction,
• 0:21
  and prevention of health care's most complex conditions
• 0:24
  easier and more accessible as we drive organizations
• 0:27
  and people forward.
• 0:29
  This is Haley Reitgard with the Becker's Payer
• 0:31
  Podcast, and we are recording live at the
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  Becker's third annual spring payer issues roundtable.
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  I am thrilled today to be joined by
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  Peter Kuipers, CFO at Clover Health. Hi, Peter.
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  Thank you so much for having this discussion
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  with me today. Can you go ahead and
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  introduce yourself and share a little bit about
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  your background?
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  It's great to be at the Beckers conference
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  today. I'm Peter Kuipers, and I am the
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  chief financial officer at Clover Health, and I'm
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  happy to be here.
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  My background before Clover Health is in technology
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  and also in health care.
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  Clover Health is a technology
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  first
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  health insurance plan with a differentiated approach.
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  Alright. Well, to kick things off, I'd like
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  to start with about, talking about balancing affordability
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  and quality, which is a constant challenge for
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  all health plans. So how is your organization
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  innovating to manage the cost of care while
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  maintaining or improving member outcome?
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  That's really a great question. Clover is a
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  technology first health insurance plan,
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  like I said earlier, with a differentiated approach.
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  Our technology platform called Clover Assistant
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  helps physicians identify chronic diseases earlier,
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  treat these diseases earlier with better care management,
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  resulting in better health outcomes
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  for our members
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  with lower total cost of care.
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  And we continually
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  invest in the innovations on our technology platform,
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  which is cloud based,
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  powered by machine learning and AI.
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  I'd like to go a little bit deeper
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  there. So what are some best practices or
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  tools that your organization relies on to keep
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  quality of care at the forefront?
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  First, we're focused on using technology,
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  our Clover system platform,
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  to empower physicians
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  at the point of care,
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  at the time of care,
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  to deliver earlier and better quality care management
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  for our members.
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  We continually invest in quality
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  and our tech platform.
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  This has been a focal point in our
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  strategy,
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  and we've communicated this publicly
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  during earnings calls.
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  We have a multiyear
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  technology road map to further enhance the clinical
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  and predictive capabilities of the Clover system platform.
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  We demonstrated our ability to do so
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  via industry leading HEDIS scores,
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  which is the quality measure within the star
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  rating system.
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  We also have an exceptional compliance team with
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  an extensive background in health care and compliance
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  leadership.
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  Well, we've talked a lot about quality of
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  care, and I'd love to pivot the conversation
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  a little bit to member satisfaction,
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  which is essential to thrive in today's competitive
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  health care landscape.
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  So what experience or engagement strategies have proven
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  effective for your organization, and how are you
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  measuring success?
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  So we measure member satisfaction success via two
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  main measures.
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  First, we focus on and measure member retention.
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  We have very high retention rates
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  both in AEP
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  and also
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  in OEP.
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  Second, we focus on empowering physicians to deliver
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  superior health outcomes
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  using the Clover Assistant technology.
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  Using this platform, physicians are able to diagnose
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  and treat chronic diseases earlier.
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  For example,
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  using our technology,
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  physicians
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  are able to diagnose diabetes
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  three years earlier
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  and chronic kidney disease eighteen months earlier.
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  Also, from a plan design perspective,
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  we are also a premium free PPO first
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  plan
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  offering
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  where our members
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  are free to choose their physician.
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  Also, our home care services
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  uses the same technology
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  and is led by MDs.
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  In total, despite industry headwinds,
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  because of this technology first approach,
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  we are actually able to keep plan benefits
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  steady this year while we are growing 30%
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  in members and balancing profitability.
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  Looking ahead, what do you see as the
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  biggest opportunity for payers to lead the charge
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  in transforming care delivery and driving better outcomes
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  for all stakeholders?
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  How can leaders take a step in this
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  direction now?
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  At Clover, we believe that the most transformative
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  opportunity to improve care delivery and health outcomes
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  is actually to empower physicians
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  with leading clinical
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  technology
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  to deliver preventive and earlier high quality care
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  at the point of care.
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  Now since the middle of last year,
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  we are also offering the same technology
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  branded now
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  counterpart assistance
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  also to other
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  Medicare Advantage plans
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  and risk bearing or value based care providers
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  so that these plan supervisors
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  also can identify
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  chronic diseases
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  earlier
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  with better care management,
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  resulting in better health outcomes
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  for their members with total with lower total
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  cost of care.
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  In summary, our mission really is to help
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  improve health care for as many Medicare Advantage
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  members as possible.
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  Peter, thank you so much for joining me
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  today. Again, this is Haley Recker with the
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  Becker's Payer podcast recorded live at the Becker's
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  third annual spring payer issues roundtable. Thank you
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  so much. Thank you. My pleasure.