CLOV Reports MA Membership Growth, Signals GAAP Profitability in 2026

Core Insights - Clover Health Investments (CLOV) reported a 53% year-over-year growth in Medicare Advantage PPO membership during the 2026 Annual Enrollment Period (AEP), starting 2026 with a total membership of 153,000 [1][8] - The company anticipates achieving full-year GAAP net income profitability in 2026, supported by strong member retention, growth in new members, and the effective use of Clover Assistant [2][9] Membership Growth and Retention - Clover Health retained over 95% of its members by maintaining stable plan benefits and expanding its presence in core markets [8][10] - The company experienced intentional growth in its PPO plans, with new members switching from other Medicare Advantage plans [10] Financial Performance and Profitability Outlook - Clover Health is positioned to demonstrate the scalability of its technology-enabled Medicare Advantage model, with expectations of improved margins and earnings due to membership growth, retention, and operational efficiencies [4][9] - The company benefits from higher payments from its 4.0-star-rated PPO plans, a favorable CMS rate update, and increased Part D subsidies [9] Market Position and Competitive Advantage - More than 97% of Clover Health's Medicare Advantage members are enrolled in its main PPO plan, which has been ranked the number one PPO plan in the country based on HEDIS quality measures for two consecutive years [11] - The company's AI-enabled technology has shown effectiveness in improving care quality and lowering costs, with significant growth in the adoption of its Counterpart Assistant [13][14] Industry Prospects - The individual health insurance market is valued at $150.05 billion in 2025, with a projected CAGR of 6.43% through 2035, driven by the changing healthcare landscape and the integration of technology [12]