Clover Health wins court fight over Medicare star rating; CMS recalculates PPO plan at 4.5 stars

Clover Health

Clover Health

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  • US District Court in Southern District of Georgia set aside Clover’s 2026 3.5 Star Rating for Contract H5141 on May 29, 2026.
  • Ruling ordered CMS to recalculate the 2026 Star Rating, affecting Payment Year 2027.
  • CMS recalculated the rating to 4.5 Stars on June 9, 2026, instructing alternate bids at the higher level.
  • 4.5 Stars applies to Contract H5141, Clover’s PPO plan covering over 97% of members.
  • Separate HMO contract H8010 was not part of the case, leaving its 2026 Star Rating at 4.0.


Disclaimer: This news brief was created by Public Technologies (PUBT) using generative artificial intelligence. While PUBT strives to provide accurate and timely information, this AI-generated content is for informational purposes only and should not be interpreted as financial, investment, or legal advice. Clover Health Investments Corp. published the original content used to generate this news brief via EDGAR, the Electronic Data Gathering, Analysis, and Retrieval system operated by the U.S. Securities and Exchange Commission (Ref. ID: 0001801170-26-000137), on June 10, 2026, and is solely responsible for the information contained therein.

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