Clover Health Joins CMS Aligned Network: Advancing Healthcare Data Interoperability

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Clover Health has partnered with Kno2 to become the first payer live on a CMS Aligned Network and TEFCA. This collaboration allows patients to gain real-time access to their electronic medical information and claims data. The CMS Aligned Network is a voluntary framework for health data exchange, designed to allow patients to retrieve up-to-date information anywhere using applications of their choice. Payers can also query clinical data related to claims submitted within the last 60 days. TEFCA (mandated by the 21st Century Cures Act) establishes a secure, nationwide, and interoperable system for health information exchange using Qualified Health Information Networks (QHINs). Under this partnership, Clover Health will respond in real time to patient-directed requests for clinical and claims data using standardized FHIR (USCDI v3) formats. Kno2 securely routes these requests across the network, Counterpart Health facilitates the standardized exchange of data, and Clover Health responds as the payer with structured information. This positions Clover Health as a leader in bringing national interoperability frameworks into production. The move aligns with the growing global healthcare data integration market (expected to reach $3.11 billion by 2030), driven by demand for patient-centered care and value-based medicine. Furthermore, Clover Health's AI-driven Clover Assistant platform has demonstrated clinical impact, reducing hospitalizations in chronic heart failure cases.