Clover Health's PPO Medicare Advantage plans earn 5 Stars for 2027; HMO plan gets 4.5
CMS awarded Clover Health's PPO Medicare Advantage plans 5 Stars and its HMO plan 4.5 Stars in the 2027 Star Ratings, which affect payments in 2028. The PPO rating reflects CMS removing 20 measures under a May 27, 2026 court decision that is on appeal; with those measures included, the PPO plans would have received 4.5 Stars.
Key points
- PPO Medicare Advantage plans: 5 Stars; HMO plan: 4.5 Stars, for 2027 (payment year 2028)
- With the 20 measures included, the PPO plans would have received 4.5 Stars
- Medicare Advantage membership grew about 48% year over year to more than 157,000 through the first half of 2026, with about 98% in PPO plans
- Core HEDIS score of 4.82 out of 5 Stars, ranking first among non-SNP PPO plans with over 2,000 members
The filing
Written by AI on Nov 9, 2026, 11:43 AM ET, from this filing only. Written later: this filing was briefed after the fact, when past filings were added to the site, so the brief may be read with hindsight; the filing itself is the record of what was known on October 08, 2026.
Briefs are written by AI from the filing text and can contain mistakes — open the filing before acting on anything. Impact (1-5) and tone are the AI's reading of the filing for shareholders, not a price forecast. Not investment advice.