The Centers for Medicare & Medicaid Services awarded Clover Health’s PPO Medicare Advantage plans a 5-Star rating and its HMO plan 4.5 Stars for 2027. The 5-Star designation allows the company to enroll beneficiaries year-round, a significant operational advantage in the Medicare Advantage market. The rating was calculated by CMS removing 20 measures contested in ongoing litigation, which would have otherwise resulted in a 4.5-Star rating. Additionally, Clover maintained a HEDIS score of 4.82 out of 5 Stars for the third consecutive year. This filing discloses these regulatory ratings and their implications for future payment years and enrollment capabilities. The company operates as a physician enablement technology firm providing Medicare Advantage plans.
