“Compliance isn’t meant to be disrupted” according to Clover

“Compliance isn’t meant to be disrupted” – Brian Johnson, Senior Software Engineer at Clover Health, a health insurance startup that provides Medicare Advantage plans to seniors in NJ and is reportedly raising $120 million in funding. The Gist: Clover’s compliant software allows staff to maintain and aggregate relevant healthcare data to later process and render decisions on appeals at scale. This means that when a member’s claim is being denied, Clover can quickly respond to the ‘why’, and ‘when’ and ‘what else’ to ensure it can provide a clear picture of the case being handled in a timely manner. Bottom Line: the case for real-time compliance monitoring. Refreshing.