Clover Health Medicare Advantage PPO Plans Earn 5 Star Rating for 2027
Key Highlights
- ➤Clover’s PPO Medicare Advantage plans receive 5 Stars for 2027, affecting payment year 2028
- ➤Medicare Advantage membership grows approximately 48% year-over-year to more than 157,000
- ➤Approximately 98% of members enroll in Clover’s wide-network PPO plans
- ➤Clover’s HMO Medicare Advantage plan receives a 4.5-Star rating for 2027
- ➤Clover’s HEDIS score holds at 4.82 out of 5 Stars, ranking first among qualifying non-SNP PPO plans
Expert Statements
Andrew Toy, CEO of Clover Health
“Success in the Star ratings system means an enhanced ability to support our members and to continue to provide them market leading plans. We also continue to support reforms to the Stars program that more closely align these ratings with meaningful improvements in members’ health and value for the Medicare program.”
Andrew Toy, CEO of Clover Health
“We are particularly proud of our core HEDIS measures performance, which assess important aspects of preventive care and chronic disease management. Our focus remains on giving physicians the tools to deliver proactive care across our wide PPO network, supported by our Counterpart Assistant platform.”
Jamie Reynoso, CEO of Medicare Advantage, Clover Health
“Our teams have worked incredibly hard over the last several years, and we’re excited about what this year’s Star rating means for our ability to keep delivering the benefits, affordability, and wide choice of providers that our members count on and trust.”
Jamie Reynoso, CEO of Medicare Advantage, Clover Health
“With a higher Star rating, we are able to further reinvest in even more competitive benefits. This milestone allows us to scale our impact to more people on Medicare without compromising our financial strength or commitment to care quality.”
Vivek Garipalli, Founder and Executive Chairman of Clover Health
“We founded Clover with the conviction that improving healthcare requires both the ambition to reimagine it coupled with the willingness to solve hard problems, on a first principles basis.”
Vivek Garipalli, Founder and Executive Chairman of Clover Health
“I’m proud to work closely with our teams on critical aspects of these efforts, and I have a ton of fun doing so as well.”
Vivek Garipalli, Founder and Executive Chairman of Clover Health
“This Star rating reflects many, many years of persistence and disciplined execution and provides a strong opportunity to build on that foundation moving forward as we continue to seek much-needed reforms.”
WILMINGTON, Del., Oct. 08, 2026 (GLOBE NEWSWIRE) -- Clover Health Investments, Corp. (Nasdaq: CLOV) (“Clover,” “Clover Health” or the “Company”), today announced that the Centers for Medicare & Medicaid Services (“CMS”) has awarded its PPO Medicare Advantage (“MA”) plans a rating of 5 Stars and its HMO MA plan a rating of 4.5 Stars for 2027, which will affect payment year 2028. Through the first half of 2026, Clover Health grew Medicare Advantage membership ~48% year-over-year to more than 157,000 members, with ~98% enrolled in its wide-network PPO plans. At 5 Stars, Clover’s PPO plans will be able to enroll beneficiaries year round.
Each year, CMS assigns Star ratings to Medicare Advantage and Part D contracts on its healthcare quality and drug plan, and issues a Star rating on a scale of 1 to 5 Stars. These ratings affect payments to Medicare Advantage plans. For the 2027 Star Ratings, Clover’s overall Star rating was driven by improvements across Stars domains.
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