Market News / Story
Clover Health Medicare Advantage PPO Plans Earn 5-Star Rating; HMO at 4.5 Stars
·
Clover Health announced its PPO Medicare Advantage plans received a 5.0 Star rating and its HMO plans 4.5 Stars for 2027, affecting payment year 2028. Key Highlights: CMS awarded Clover Health PPO MA plans 5.0 Stars and HMO MA plan 4.5 Stars for 2027, impacting payment year 2028. CMS removed 20 measures tied to a court decision for PPO plans, raising the PPO rating to 5.0; with those measures the rating would be 4.5. Clover grew MA membership ~48% YoY through H1 2026 to…