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DIGITAL HEALTH BRIEFING: Health leaders say Amazon will disrupt medical supply delivery — Cerner, VA finalize $10 billion deal — Clover Health bets on in-home primary care

by Ines Hamlet (2018-07-06)


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US INSURER HOPES IN-HOME CARE WILL CREATE COMPETITIVE EDGE:
Clover Health, a San Francisco-based Medicare Advantage (MA) insurer, is deploying
an in-home primary care program with genomic testing for its most vulnerable members. The new program signals a shift in business models from one that focuses on customer volume to one that emphasizes value for its customers. That's because the majority
of MA beneficiaries are 65+ and covered primarily
by just a few top insurers. And as competition over this highly sought-after segment of customers heats up, Clover likely hopes the new program will drive up the lifetime value of its existing tattoo capilar en Marbella dermopigmentación capilar Marbella Marbella customer base. Clover has been handed a series of losses recently — a reduced Medicare star rating, unsuccessful contracts with new providers, and a legal setback to its push to expand into new states — all of which hurt its membership and revenue growth targets. Delivering primary care to the home means more patients will access preventative care, while genetic testing enables providers to prescribe more tailored drug regimens, reducing hospitalizations from adverse drug events. Legacy insurers will be keeping tabs on newer entrants like Clover Health, but it's unlikely this initiative alone is enough to differentiate Clover from other payers. Clover isn't the only MA insurer eyeing revenue growth from in-home care — Humana
and UnitedHealthcare
have also made moves to deliver care to their Medicare members' residences.

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