The New Era of Payer-Provider Connectivity: with Clover Health

Healthcare interoperability is entering a new phase driven less by regulation and more by outcomes.

In this episode of Kno2fy, Therasa Bell and Whitney Cole sit down again with Kevin Holub, Chief Product Officer at Counterpart Health, to unpack the growing momentum behind emerging interoperability initiatives and what they mean for payers, providers, networks, and patients.

The conversation explores how national networks differ from traditional interoperability initiatives, why “data liquidity” is becoming essential to healthcare transformation, and what happens when organizations stop waiting for the perfect framework and start moving into production. Kevin and Therasa also discuss the realities of scaling payer-provider exchange, reducing administrative waste, improving longitudinal care, and why many of healthcare’s biggest interoperability fears may be overstated.

From TEFCA and QHINs to private networks and real-world deployment lessons, this episode is a candid look at the operational, technical, and strategic shifts shaping the next era of connected healthcare.

Timestamps

00:38 - Meet Co-Hosts and Guest Kevin Holub

02:11 - What Is the CMS Health Tech Ecosystem?

07:45 - How CMS-Aligned Networks, QHINs, and Private Networks Connect

09:58 - What Health Plans Gain by Going Live

13:48 - Why Data Sharing Creates Value for Everyone

18:32 - Lessons from an Early Adopter

20:50 - The Hidden Complexity of National Networks

25:48 - How Fast Can a Health Plan Get Connected?

28:02 - Why the Industry Needs to Move Faster

Hosted by: Therasa Bell and Whitney Cole

Produced by: Jess Garman

Research: JoJo Abbasi

A Kno2 Podcast