Evernorth brings the power of wonder and relentless innovation to create world class pharmacy care and benefit solutions. Our connected health services make the treatment, prediction, and prevention of health care's most complex conditions easier and more accessible as we drive organizations
and people forward. Ever North Home Based Care provides value based care that helps patients with multiple chronic conditions and social determinant of health barriers get the care they need and the personalized experience they deserve. We serve patients who struggle to navigate the health care system by bringing high quality primary
and preventative care services to the home. By providing clinical care and support services that provide whole person care, we improve health equity, access, and outcomes for the populations we serve. This is Gracelyn Keller with the Becker's Health Care podcast, and we are recording live at the 2024 fall payer issues roundtable. I'm joined right now by Eric Sharp, who's the CEO of value based care at Clover Health. So, Eric, thank you for being here
today. We'd love to have you start off by introducing yourself and telling us a little bit more about your role. Sure. It's great to be here. In my role as CEO of value based care with Clover Health, I'm really charged with driving value based care for payers and providers out in the industry. So at Clover, we're very technology centric and have developed our own technology stack that we use to drive value based care.
Again, my challenge is to help others outside of Clover Markets do that very same thing. So it's been a, a fun role. I've been here for about 3 years now. Wonderful. Well, thank you for taking the time to sit down with me today. And let's start our conversation talking about, at an industry level, what opportunities are you seeing for large scale improvements?
Sure. So one of the things that that I've observed from my experience in being involved in value based care for the past, decade, really, probably closer to 12, 13 years now, is that while there's a lot of approaches to try to drive performance improvement, as an industry, we're actually making that pretty difficult on physicians.
So if you think of that about that from the payer lens, we have a lot of different insurance companies action asking physicians to do a lot of additional work and do it in a lot of different ways. So, forms are different, processes are different, websites are different. And it creates, a lot of chaos, a lot of administrative burden. And I think that there's opportunity to try to streamline that, in in ways that can be easier for physicians.
Pull back some of that administrative burden, begin to provide them the tools to do better clinically and really harness the data that's available now in the industry and is increasingly it's growing, as there's more transparency and there's more interoperability, to really leverage those things. So I think that's the next season coming, in value based care. And it's something we've been focusing on at Clover Health. And let's shift a little bit toward digital
innovation. So I'd love to know what role technology is playing in your organization's growth strategies. And if you could share specific examples, that'd be great. Yeah. So, just building off of the, the points around how to improve things in the industry, particularly with value based care. At Clover, we're a very tech centric organization with a very tight focus on driving clinical improvement. We wanna improve, the health of every life.
And so we set out years ago to build a technology stack that would make it easier for physicians to diagnose, chronic disease earlier. To have better insights at the point of care as to what was going on with the patient, a more holistic view. And so this technology that we've built, we are going out and harnessing a 100 plus sources of data.
We're pulling that together, normalizing it, putting it into our warehouse, running, hundreds of AI algorithms, machine learning algorithms to surface insights right at the point of care at the visit, where the physician, and the patient are face to face. And what we're finding, from a results perspective, just to double click into one example, is that physicians are truly diagnosing earlier.
They're also also able to see insights into medication adherence and transitions in care and close gaps in care. But that double click, I'll just share with you around diabetes. Where we see our physician users of the technology when compared to those that are not using the technology. And we have this out on a white paper. Are diagnosing diabetes about 3 years earlier. That's allowing them to then intervene, and treat 3 years earlier.
And you sort of, you know, ask the the follow-up questions to that of is it really producing a difference in outcomes? And we're finding that it is. It's leading to, better control of blood sugar earlier. About again, about 3 years earlier because we're treating earlier. Lower complications like hypoglycemia, lower insulin use. All these things are important. And the physicians that are using the technology see that as
a value add. It's not uncommon for them to share stories about, the insights they were sharing that they just didn't know existed for the patients that they serve every day. Patient could have had a cancer diagnosis. They may have been in the hospital. They may have had an elevated lab study at a different health care facility. And so harnessing that big data and making it easy for the physician to use has been a differentiator for us. We're a 4 star Medicare Advantage plan.
We have, we looked at the recent HEDIS metrics. And, our HEDIS score on the core quality metrics is 4.94. We've shared that publicly. That is one of the top, if not the top, HEDIS score, in the country for plans that are greater than 2,000 lives. And it really underscores the value of what we're doing and why we're continuing to improve the technology, for physicians at at the point of care each and every day. And how is technology supporting value based care
or member focused initiatives at your organization? And what is exciting you in this space? Yeah. So this really is exciting for me because it's, right in the wheelhouse of what I've been charged to do. Is we've now taken that technology that we've been using for some time, for our, Clover Medicare Advantage members, in New Jersey and and in Georgia. And we've we've moved that technology into a subsidiary called Counterpart Health.
We did that intentionally because we believe that the technology is not only proven, but it can make a difference at an industry level. It's it's designed in a way that it can be scalable. And so the exciting part is, is I get to help lead the effort to take that technology out to providers and to payers to help them also drive performance improvement like we've seen at at Clover.
And, the the real exciting part about it is that today, physicians get inundated again from multiple insurance companies about these processes and things that they wanna drive and improve. And as we're deploying it, we're we're hearing from them of we want to do this type of work, value based care work in the same way, in a common way, in a similar workflow. And so the technology now is available, not just to implement our providers, but other
payers can plug into it as well. They can make that decision to say, let's make this easier on on the physician. Let's allow them to work in a common format and leverage the technology, that we've made available. And I think that that over time in the coming years is not just gonna set us apart. It's gonna set a new, standard for best practice in the industry as an increasing number of, providers and payers plug into the technology. So we're just super excited about that.
Wonderful. Well, Eric, thanks so much for joining me today on the Becker's Healthcare Podcast and sharing your insights on these topics. Again, we are recording live at the 2024 fall payer issues roundtable. Thanks so much. Thank you.