Clover Health
 | |
| Public | |
| Traded as | NASDAQ: CLOV |
| ISIN | 🆔 |
| Industry | Health care |
| Founded 📆 | 2014[1] in San Francisco, United States |
| Founder 👔 | |
| Headquarters 🏙️ | , , |
Area served 🗺️ | Arizona, Georgia, Kansas, New Jersey, New York, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont |
Key people | Vivek Garipalli (CEO), Andrew Toy (President, CTO) |
| Members | |
Number of employees | 458[2] (2021) |
| 🌐 Website | cloverhealth |
| 📇 Address | |
| 📞 telephone | |
Clover Health is an American health care company founded in 2014. The company provides Medicare Advantage (MA) insurance plans and operates as a direct contracting entity with the U.S. government. Clover Health developed a proprietary platform called the Clover Assistant, which tracks medical events and uses machine learning to provide health care recommendations. As of August 2021, Clover Health oversees care for 129,000 people, split between MA plans and direct contracting. The company manages care for Medicare beneficiaries in 11 states and started trading publicly on January 8, 2021.
Company overview[edit]
Clover Health offers Medicare Advantage plans in "largely rural or underserved areas".[3] The company is led by chief executive officer Vivek Garipalli and president and chief technology officer Andrew Toy.[1] As of August 2021, Clover Health had 129,000 beneficiaries, split between its Medicare Advantage plans and direct contracting coverage.[4] The beneficiaries are located in 11 states: Arizona, Georgia, Kansas, New Jersey, New York, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, and Vermont.[5][6] Chelsea Clinton and Demetrios L. Kouzoukas, the former Director of the Center for Medicare and Principal Deputy Administrator of the Center for Medicare and Medicaid Services (CMS) during the Trump administration, are both members of Clover Health's board of directors.[7][8]
Clover Health created a machine learning software platform called the Clover Assistant to offer care recommendations to primary care physicians and alert them about medical events, such as if a patient has picked up their prescription.[9] Toy developed underlying data and models the Clover Assistant uses. The platform aggregates health information and uses it with the machine learning process to deliver recommendations to care providers.[10][11]
In April 2021, Clover Health began working as a direct contracting entity with CMS, which allows the company to negotiate contracts with doctors treating patients using fee-for-service Medicare options. About half of the company's total beneficiaries were added through this contracting service.[4]
The corporate headquarters are in Franklin, Tennessee, and the company has additional offices in San Francisco, California, Jersey City, New Jersey, and Hong Kong.[12][13]
History[edit]
Founding and initial growth[edit]
Vivek Garipalli and Kris Gale co-founded Clover Health in 2014.[1][3] Garipalli previously founded and operated a chain of hospitals in New Jersey called CarePoint Health.[14]
More than 7,200 people were insured by Clover Health by 2015 and the company had more than 39,000 members by 2019, reporting revenues of $427.4 million and a net loss of $60.57 million.[15][16]
In 2016, the company was fined $106,095 for misleading its members about where they could receive care.[17] According to Bloomberg, Clover Health paid the fine and updated its marketing materials.[18]
Gale left the company in 2017 and Toy joined as CTO early in 2018.[19][20] Clover Health launched a home-based primary care program for homebound members in 2017 and partnered with Spiras Health and Upward Health in 2021 to expand the program, which the company says reduces costs and hospitalizations.[21] In 2018, Clover Health partnered with MindMate, an app developer that makes games designed to maintain or improve cognitive function in older adults. The partnership will allow Clover Health to measure "significant decline in cognitive performance.”[22]
Clover Health launched Clover Therapeutics in 2019, a biopharmaceutical company that uses data collected from Clover's plan members to research and develop therapies for chronic diseases related to age. The company partnered with Genentech to study the relationship between genetics and the risk of ocular disease.[23] In March 2019, the company said it needed to shift its focus to health care industry experience and reduced its staff by approximately 20 percent.[24][25]
In July 2021, the company added Prabhdeep Singh and Justin Joseph to its executive team to facilitate growth.[26]
Initial public offering[edit]
From 2015 to 2017, Clover Health ran a series of venture capital funding rounds, receiving funding from First Round Capital[27], Sequoia Capital[28], and Greenoaks Capital.[29] A Series D funding round in 2017 included support from Alphabet Inc's investment company GV and led to Clover Health being valued at more than $1.2 billion and achieving “unicorn” status.[1]
In October 2020, the company announced that it had reached a $3.7 billion deal with Chamath Palihapitiya and would go public through a merger with a special-purpose acquisition company.[3] Clover Health began trading on the NASDAQ under the ticker CLOV on January 8, 2021. The company ended its first day on the public market with a value of about $7 billion.[30]
Hindenburg report and 'meme stock' status[edit]
In February 2021, the short seller Hindenburg Research released a report alleging Clover Health was under investigation by the Department of Justice, and that it had failed to disclose the investigation to investors before going public.[31] Share prices fell by twelve percent following the release of the report.[32] The company responded to the report and said it did not need to disclose the inquiry because it was determined to be immaterial in filings with the Securities and Exchange Commission by lawyers of Clover Health, the initial public offering underwriters, and third-party attorneys.[31] Following the report, the SEC opened an investigation into Clover Health.[33]
In June 2021, Clover Health became the target of traders as a “meme stock”, causing share prices to fluctuate.[34] Share prices rose 20% in one day after the company cautioned investors against purchasing shares due to being part of a short squeeze on hype from Reddit retail investors.[35]
References[edit]
- ↑ 1.0 1.1 1.2 1.3 Chapman, Lizette (May 10, 2017). "Clover Health tops $1 billion value with Alphabet backing". Bloomberg. Retrieved August 18, 2021.
- ↑ "Clover Health Investments Corp - Company Profile and News". Bloomberg. Retrieved September 27, 2021.
- ↑ 3.0 3.1 3.2 Hirsch, Lauren (October 6, 2020). "Clover Health Is Acquired in a $3.7 Billion Deal". The New York Times. Retrieved August 18, 2021.
- ↑ 4.0 4.1 Moran, Nick (August 12, 2021). "Clover Health releases Q2 results: 6 things to know". Becker's Hospital Review. Retrieved August 18, 2021.
- ↑ Rinker, Brian (January 8, 2021). "After SPAC merger, Clover Health president eyes membership growth this year". San Francisco Business Times. Retrieved July 20, 2021.
- ↑ "Notice of Direct Contracting Entities Participating in Performance Year 2021 of the of the Global and Professional Direct Contracting (GPDC) Model". Centers for Medicare & Medicaid Services. April 8, 2021. Retrieved August 18, 2021.
- ↑ Hartnett, Kara (April 15, 2021). "Clover Health taps former CMS official for board". Nashville Post. Retrieved September 27, 2021.
- ↑ Khemlani, Anjalee (April 15, 2021). "Clover appoints Trump official, industry vet to board amid market struggles, Medicare push". Yahoo! Finance. Retrieved July 20, 2021.
- ↑ Reuter, Elise (October 9, 2020). "Clover's growth projections reveal direct contracting pivot". MedCity News. Retrieved August 18, 2021.
- ↑ "Top 25 Innovators - Andrew Toy". Modern Healthcare. August 16, 2019. Retrieved July 21, 2020.
- ↑ Winck, Ben (October 6, 2020). "Social Capital SPAC led by billionaire Chamath Palihapitiya will merge with Clover Health in $3.7 billion deal". Business Insider. Retrieved August 18, 2021.
- ↑ "Registration Statement on Form S-4". Securities and Exchange Commission. October 20, 2020. Retrieved July 20, 2021.
- ↑ "Clover Health Careers". Clover Health. Retrieved August 18, 2021.
- ↑ Clark, Kate (January 29, 2019). "Alphabet-backed Medicare Advantage startup Clover Health raises $500M". TechCrunch. Retrieved August 18, 2021.
- ↑ Herman, Bob (April 12, 2017). "This Medicare Advantage startup isn't doing so hot". Axios. Retrieved July 20, 2021.
- ↑ Reuter, Elise (January 21, 2021). "Medicare Advantage startup Clover Health plans big expansion". MedCity News. Retrieved July 20, 2021.
- ↑ Small, Leslie (June 1, 2016). "CMS fines Clover Health for 'misleading' marketing tactics". Fierce Healthcare. Retrieved August 18, 2021.
- ↑ Chapman, Lizette (December 7, 2016). "Silicon Valley Is Trying to Reinvent Health Care, Starting in New Jersey". Bloomberg. Retrieved July 20, 2021.
- ↑ Truong, Kevin (August 28, 2018). "After rocky 2017, unicorn Clover Health charts path forward with new exec team". San Francisco Business Times. Retrieved September 27, 2021.
- ↑ Small, Leslie (December 11, 2017). "Clover Health co-founder to step down from his post". Fierce Healthcare. Retrieved September 27, 2021.
- ↑ Famakinwa, Joyce (June 9, 2021). "Clover Health Announces In-Home Primary Care Expansion, Becomes New Target for Reddit Traders". Home Health Care News. Retrieved August 18, 2021.
- ↑ Takahashi, Dean (December 25, 2018). "How Clover Health partnered with MindMate app to help elderly with brain games". VentureBeat. Retrieved July 20, 2021.
- ↑ Truong, Kevin (July 20, 2019). "Medicare Advantage startup Clover Health launches drug development arm". MedCity News. Retrieved July 20, 2021.
- ↑ Farr, Christina (March 27, 2019). "Alphabet-backed Clover Health is cutting tech jobs after realizing it needs more health-care experts". CNBC. Retrieved August 18, 2021.
- ↑ Reuter, Elise (February 19, 2020). "NJ legislators call for probe of insurance unicorn". MedCity News. Retrieved August 18, 2021.
- ↑ Hartnett, Kara (July 12, 2021). "Clover Health adds growth, strategy officers". Nashville Post. Retrieved September 27, 2021.
- ↑ Lynley, Matthew (September 17, 2015). "Clover Health, A Data-Driven Health Insurance Startup, Raises $100M". TechCrunch. Retrieved July 21, 2021.
- ↑ Lynley, Matthew (December 16, 2015). "Data-Driven Health Insurance Provider Clover Health Raises Another $35M". TechCrunch. Retrieved July 21, 2021.
- ↑ Rauber, Chris (May 20, 2016). "San Francisco health insurance startup nabs $160 million in Series C funding". San Francisco Business Journals. Retrieved July 21, 2021.
- ↑ Schubarth, Cromwell (January 8, 2021). "Clover Health goes public after merger with SPAC led by Chamath Palihapitiya". Silicon Valley Business Journal. Retrieved July 20, 2021.
- ↑ 31.0 31.1 Lin, Connie (February 4, 2021). "Clover Health under fire from Hindenburg, the research firm that took down Nikola". Fast Company. Retrieved July 20, 2021.
- ↑ Warner, Bernhard (February 5, 2021). "Following a bruising short-seller report, Clover Health discloses SEC investigation". Fortune. Retrieved July 20, 2021.
- ↑ Kelly, Kate (August 21, 2021). "SPACs Went Up, Then Down, but They're Not Out". The New York Times. Retrieved September 27, 2021.
- ↑ Hirtenstein, Anna (June 8, 2021). "Clover Health's Stock Price Surges After Becoming New Reddit Darling". Wall Street Journal. Retrieved July 21, 2021.
- ↑ Dailey, Natasha (June 22, 2021). "Clover Health jumps 20% as Redditors cheer company's acknowledgement that the stock is the target of a short squeeze". Business Insider. Retrieved July 20, 2021.
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