Why a Google vet started a next-gen health insurer — with Andrew Toy
Clover Health wants to improve physician performance by giving them access to cutting edge AI technology. But the company chose to enter the market not as a technology vendor but as an insurer, disrupting traditional payment structures and care navigation technology in one fell swoop. On today’s HIMSSCast, Clover Health’s Andrew Toy joins host Jonah Comstock to talk about his story and his own particular take on solving the healthcare cost crisis in America.
- What Clover does and how its different from other payers and other startups
- Clover Assistant, Clover’s provider-facing tech stack, and how it fits into their model
- Getting away from the idea of networks
- What does value-based care mean for Clover
- Who holds the risk? And why it should be the insurers
- Why the incentive alignment argument for value-based care is more complicated than people think
- Incentivizing doctors by giving them more powerful tools
- How health systems should fit into the value-based care landscape
- Why Clover launched as a payer and not a technology vendor
- Why Clover built its Assistant outside of the EHR
- Fixing healthcare means fixing healthcare for everyone
- How can innovation in insurance push through incumbent players?
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