Clover Health PPO MA plans win 5 Stars for 2027; HMO gets 4.5 Stars, lifting payment year 2028

CLOVER HEALTH INVESTMENTS, CORP. /DE

CMS awarded Clover's PPO Medicare Advantage plans 5 Stars and its HMO MA plan 4.5 Stars for 2027, which affects payment year 2028.
Rating reflects May 27, 2026 ruling in Clover Insurance Co. v. HHS (S.D. Ga. No. 25-142), on appeal; with the 20 disputed measures included, PPO plans would have scored 4.5 Stars.
MA membership grew ~48% year-over-year through H1 2026 to more than 157,000 members, with ~98% enrolled in wide-network PPO plans; 5 Stars permits year-round enrollment.
HEDIS score 4.82 of 5 Stars for a third straight year, ranking #1 among non-SNP PPO plans with over 2,000 members, unchanged under either CMS methodology.
CEO Andrew Toy Cites 'market leading plans'; MA CEO Jamie Reynoso says the higher rating lets Clover 'reinvest in even more competitive benefits' without compromising financial strength.

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