Clover Assistant (CA)
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Clover Health Investments (NasdaqGS:CLOV) Earnings Call Presentation
2025-12-03 12:00
Financial Performance & Growth - Clover Health achieved Adjusted EBITDA profitability in 2025 and anticipates GAAP Net income in FY26[9, 25] - The company experienced a +33% year-over-year increase in Medicare Advantage (MA) membership[9] - Clover Health's Insurance revenue grew by +39% year-over-year in 3Q YTD[26] - Adjusted SG&A as a percentage of total revenues improved by 370 bps year-over-year in 3Q YTD[23] Clover Assistant & Clinical Outcomes - Clover Assistant is correlated with ~36 months earlier diagnosis & treatment for diabetes on average[18] - Clover Assistant is correlated with ~18 months earlier diagnosis of Chronic Kidney Disease (CKD) stage 3 & higher on average[18] - Clover Assistant is correlated with 18% lower all-cause hospitalizations & 25% lower 30-day readmissions for Congestive Heart Failure (CHF)[18] Market Positioning & Strategy - Clover Health is targeting a ~$500 billion market with >35 million seniors in Medicare Advantage (MA)[9] - The company's PPO-first approach covers 97% of its membership[9] - Clover Health's Medicare Advantage PPO plans received a score of 472 out of 5 Stars on HEDIS Measures for Star Rating Year 2026[51]
Clover Health Investments (CLOV) FY Earnings Call Presentation
2025-08-12 15:00
Financial Performance & Growth - Clover Health anticipates insurance revenue of $1.8 billion to $1.875 billion for full year 2025[50] - The company projects Adjusted EBITDA between $50 million and $70 million for full year 2025[9, 50] - Clover Health expects a 32% year-over-year increase in Medicare Advantage (MA) membership in 2025[9, 44] - Clover Health's Insurance Benefits Expense Ratio (BER) for the first half of 2025 was 87.3%[24] Clover Assistant & Clinical Outcomes - Clover Assistant (CA) is associated with earlier diagnosis of Chronic Kidney Disease (CKD) by approximately 18 months on average[18] - Clover Assistant is associated with 15% lower all-cause hospitalizations and 18% lower 30-day readmissions for members with Chronic Obstructive Pulmonary Disease (COPD)[18, 20] - Clover Health achieved a 4.94 out of 5 Stars on HEDIS measures for Star Rating year 2025, the top-performing score on core HEDIS measures for Medicare Advantage plans with over 2,000 members nationwide[18] Strategic Initiatives - Clover Health is focused on a ~$500 billion market with over 35 million seniors enrolled in Medicare Advantage[8] - Clover Health's Counterpart Health subsidiary aims to expand the company's care model to more plans and providers[8] - Approximately 97% of Clover Health's membership is enrolled in PPO plans[8, 49]