Medicare Advantage Startup Clover Health posts $22M loss

Digital health company, Clover which offers insurance to seniors in New Jersey, and now to parts of Georgia, Pennsylvania and Texas posted a $22M loss in 2017.

The company serving the lucrative and stable Medicare Advantage market made revenue of $267M that year according to Bloomberg

It only takes a quick reading of the chart from the Kaiser Family Foundation below to note why this market is lucrative. The Medicare Advantage market is now 33% of Medicare – that’s 19 million people served from just 7 million people in 1999.  Average premiums are $36 per person.

Medicare Advantage Enrolment

With almost 50% of the market dominated by United Health and Humana per Figure 6 KFF,

Enrolment by Insurer MA.png

 

Clover has some work to do. On the immediate list for the firm include focusing on it’s sickest customers – to drive down ER costs/use, getting it’s Medicare Stars Rating up towards the perfect ‘5’ score and negotiating narrow-er networks.

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