RatingJun 10, 2026, 08:36 AM
Clover Health's Star Rating Recalculated to 4.5 Stars
AI Summary
Clover Health Investments, Corp. announced that the United States District Court for the Southern District of Georgia granted summary judgment in part for its subsidiary, Clover Insurance Company, regarding its 2026 Star Rating. Following the court's order to recalculate, the Centers for Medicare & Medicaid Services (CMS) informed Clover that its 2026 Star Rating for Contract H5141, covering over 97% of its members, has been revised from 3.5 Stars to 4.5 Stars. This improved rating impacts Payment Year 2027, while the HMO plan's 4.0 Star Rating remains unchanged.
Key Highlights
- United States District Court granted summary judgment to Clover Insurance Co. on May 29, 2026.
- Court set aside Clover's 2026 3.5 Star Rating for Contract H5141.
- CMS recalculated Clover's 2026 Star Rating to 4.5 Stars on June 9, 2026.
- The 4.5 Star Rating applies to Contract H5141, Clover's PPO plan.
- Contract H5141 covers over 97% of Clover's members.
- Clover's HMO plan (Contract H8010) 2026 Star Rating remains at 4.0 Stars.
Price Impact
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