regulatory
confidence high
sentiment positive
materiality 0.90
Clover Health's PPO Medicare Advantage Plans Earn 4 Star Rating from CMS for 2025
CLOVER HEALTH INVESTMENTS, CORP. /DE
- CMS raised Clover Health PPO Medicare Advantage plans to 4 Stars for 2025, affecting payment year 2026.
- Company expects a 5% quality bonus increase in benchmark rates in payment year 2026 due to the 4.0 Star rating.
- Over 95% of Clover's MA membership is served through its PPO plans.
- Clover's HMO plan also improved to 3.5 Stars; HEDIS score was 4.94 out of 5 Stars.
- Higher Star rating allows Clover to reinvest in competitive benefits and fuel membership growth.