Intelligence Feed event · Policy · 2026-10-09

    Clover Health Secures 5-Star CMS Rating for 2027 as MA Membership Expands 48%

    Question

    Clover Health Secures 5-Star CMS Rating for 2027 as MA Membership Expands 48%

    Direct answer

    CMS released quality star ratings for 2027, awarding Clover Health's PPO plans the maximum 5-Star score and its HMO plans a 4.5-Star designation. The company achieved the highest HEDIS quality score among non-SNP PPO competitors. The rating improvements follow a 48% year-over-year surge in Medicare Advantage enrollment to 157,000 lives, positioning Clover for expanded federal bonus payments and margin relief in the 2027 plan year.

    Original publisher
    Market Ontology
    Evidence through
    2026-10-09
    Published
    2026-10-20
    Revision
    1 · 2026-10-20

    Cite as: Market Ontology, “Clover Health Secures 5-Star CMS Rating for 2027 as MA Membership Expands 48%”, revision 1, evidence through 2026-10-09. https://marketontology.com/market-events/2026-10-09/clover-health-secures-5-star-cms-rating-for-2027-as-ma-membership-expands-48-abd60a

    POLICY
    Clover Health Secures 5-Star CMS Rating for 2027 as MA Membership Expands 48%
    CMS released quality star ratings for 2027, awarding Clover Health's PPO plans the maximum 5-Star score and its HMO plans a 4.5-Star designation. The company achieved the highest HEDIS quality score among non-SNP PPO competitors. The rating improvements follow a 48% year-over-year surge in Medicare Advantage enrollment to 157,000 lives, positioning Clover for expanded federal bonus payments and margin relief in the 2027 plan year.
    CLOV
    Impact
    73
    OCT 9
    SIG
    90%
    CLOV
    Clover Health Secures 5-Star CMS Rating for 2027 as MA Membership Expands 48%
    CMS released quality star ratings for 2027, awarding Clover Health's PPO plans the maximum 5-Star score and its HMO plans a 4.5-Star designation. The company achieved the highest HEDIS quality score among non-SNP PPO competitors. The rating improvements follow a 48% year-over-year surge in Medicare Advantage enrollment to 157,000 lives, positioning Clover for expanded federal bonus payments and margin relief in the 2027 plan year.
    → Achieving a 5-Star CMS rating elevates quality bonus payment benchmark rates for CLOV's Medicare Advantage PPO plans, directly widening 2027 underwriting margins.
    Impact
    CMS released quality star ratings for 2027, awarding Clover Health's PPO plans the maximum 5-Star score and its HMO plans a 4.5-Star designation. The company achieved the highest HEDIS quality score among non-SNP PPO competitors. The rating improvements follow a 48% year-over-year surge in Medicare Advantage enrollment to 157,000 lives, positioning Clover for expanded federal bonus payments and margin relief in the 2027 plan year.
    Affected
    CLOV
    Transmission
    Achieving a 5-Star CMS rating elevates quality bonus payment benchmark rates for CLOV's Medicare Advantage PPO plans, directly widening 2027 underwriting margins.

    How this development reaches the affected companies

    AssetExposure and channelDirectionEvidence
    CLOVhigher CMS quality bonus payment benchmark rates expanding premium revenueUp1-3mCMS awarded Clover Health PPO plans a 5-Star rating and HMO plans a 4.5-Star rating for 2027.

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    What happened next

    Price follow-up pending — no stored daily closes for these assets yet.

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