Clover Health Partners

Clover Health Partners, LLP (“CHP”) has exited the Accountable Care Organization Realizing Equity, Access, and Community Health program (“ACO REACH”) effective December 31, 2023. Please be advised, this decision has no bearing on Clover Health’s Medicare Advantage line of business.

Public Reporting Information

REACH ACO Name and Location

Clover Health Partners LLC
30 Montgomery Street, 3rd Floor
Jersey City, NJ 07302

REACH ACO Primary Contacts

Aric Sharp, CEO of Value-Based Care, Clover Health
aric.sharp@cloverhealth.com

REACH ACO Governing Body

Board of Directors

  • Aric Sharp; Chairman of the Board, Executive Director; Clover Health
  • Kumar Dharmarajan, MD; Participant Provider Representative; Clover Health
  • Cara Jakob, MD; Participant Provider Representative; Total Family Healthcare
  • Linda Schwimmer; Consumer Advocate; New Jersey Healthcare Quality Institute
  • David Berrong; Beneficiary Representative

Officers

  • Aric Sharp; Chairman of the Board, Executive Director; Clover Health
  • Kumar Dharmarajan, MD; Vice Chairman of the Board, Medical Director; Clover Health
  • Wendy Richey; Compliance Officer; Clover Health
  • Giancarla Addison; Secretary; Clover Health
  • TBD; Treasurer; Clover Health

Observer

  • Charles 'Chuck' Holt, Primary Partners Alliance

REACH ACO Leadership Team

  • Aric Sharp; CEO of Value-Based Care, Clover Health
  • Christi Taylor, MD; Chief Medical Officer and Quality Improvement of Value-Based Care, Clover Health
  • Giancarla Addison; REACH ACO VP of Operations, Value-Based Care, Clover Health
  • Kumar Dharmarajan, MD; REACH ACO Medical Director, Clover Health
  • Scott Leffler, Chief Financial Officer, Clover Health
  • Wendy Richey; REACH ACO Chief Compliance Officer, Clover Health

REACH ACO Joint Ventures

Clover Health Partners has not entered into any joint ventures between or among our Participating or Preferred providers.

Shared Savings and Shared Losses Information

Performance Year 1 (2021): -$30,415,091.98

How Shared Savings are Distributed:

  • The proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for beneficiaries: N/A
  • The proportion of Shared Savings distributed to Global and Professional Direct Contracting (GPDC) Participants and Preferred Providers: N/A

Performance Year 2 (2022): -$51,700,242.17

How Shared Savings are Distributed:

  • The proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for beneficiaries: N/A
  • The proportion of Shared Savings distributed to Global and Professional Direct Contracting (GPDC) Participants and Preferred Providers: N/A

Performance Year 3 (2023): TBD

How Shared Savings are Distributed:

  • The proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for beneficiaries: TBD
  • The proportion of Shared Savings distributed to Global and Professional Direct Contracting (GPDC) Participants and Preferred Providers: TBD

Performance on Quality Measures

Performance Year 2021 Quality Performance Results

Total Quality Score: 100%

Measure Name Rate P4P Component
Quality Score		 P4R (claims-based measures)
Component Quality Score
Risk-Standardized, All-Condition Readmissions 15.74 100% 100%
Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 33.84
Performance Year 2022 Quality Performance Results

Total Quality Score: 99%

Measure Name Rate P4P Component
Quality Score		 P4R (claims-based measures)
Component Quality Score
Risk-Standardized, All-Condition Readmissions 16.23 95% 100%
Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 35.96
Timely Follow-Up After Acute Exacerbations of Chronic Conditions 68.59 N/A
Getting Timely Appointments, Care, and Information 83.46
How Well Providers Communicate 93.43
Care Coordination 83.55
Shared Decision-Making 58.70
Patient Rating of Provider 91.84
Courteous and Helpful Office Staff 91.54
Health Promotion and Education 60.10
Stewardship of Patient Resources 33.52
Performance Year 2023 Quality Performance Results

TBD