Clover Health Launches New Portal Availity® Essentials™ to Empower Providers and Improve the Patient Experience

Core Insights - Clover Health is enhancing operational efficiency for healthcare providers by leveraging technology and partnerships, particularly with Availity, to streamline administrative processes and improve patient care access [1][4][6] Group 1: Operational Improvements - Providers face significant challenges with prior authorizations, eligibility checks, and claims, which detract from patient care and create administrative burdens [2] - Clover Health is investing in solutions to address these challenges, ensuring that providers feel supported in shaping improvements [2][4] - The new portal will be implemented in phases to optimize performance and minimize disruption to patient care [5] Group 2: Collaboration and Technology - The collaboration with Availity aims to reduce friction in healthcare processes, enabling better decision-making and improving patient outcomes [6] - Clover Health is committed to accelerating electronic submission of prior authorizations and enhancing transparency in coverage determinations [7] - The company is focused on reducing the number of procedure codes requiring authorization, targeting areas with high potential for fraud, waste, or abuse [8] Group 3: Strategic Goals - Clover Health aims to provide a centralized access interface for providers to manage administrative tasks across multiple health plans, allowing more time for patient interaction [7] - The company is expanding electronic submissions and processing a majority of prior authorizations digitally, enabling immediate feedback for providers [8] - Clover Health's strategy is supported by its software platform, Clover Assistant, which aggregates patient data to improve health outcomes [10]