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Clover Health Announces 53% Growth in Medicare Advantage Membership During AEP, Increasing to 153,000 Members as of January 1, 2026; Expects First-Ever Full Year GAAP Net Income Profitability in 2026
Globenewswire· 2026-01-14 13:30
Core Insights - Clover Health Investments, Corp. reported a 53% year-over-year growth in Medicare Advantage (MA) PPO plans for the 2026 plan year, reaching approximately 153,000 members, indicating disciplined growth in core markets and strong retention [1][5] - The company anticipates achieving its first-ever full year GAAP Net Income profitability in 2026, driven by strong cohort economics and operational efficiencies [5][4] Key AEP and Business Highlights - Clover's AEP performance reflects the effectiveness of robust plan benefits, Clover Assistant-enabled clinical performance, and a deepening market presence, leading to market-leading growth [3][4] - The company maintained stable plan benefits year-over-year, achieving over 95% member retention during the AEP, reinforcing the stability of its membership base [5] - Over 97% of Clover's January 1, 2026 membership is in its flagship PPO plan, which is ranked 1 nationally on core HEDIS metrics for the second consecutive year, showcasing the company's commitment to clinical quality [4][5] Strategic Growth Initiatives - Clover's growth strategy focuses on concentrated efforts in established core markets, leveraging strong Clover Assistant coverage and a differentiated Home Care offering to enhance care delivery and improve cohort performance [5][4] - The company expects significant improvements in new member cohort performance, supported by a 4.0 Stars rating for its PPO plans, favorable CMS rate updates, and continued operational leverage as SG&A efficiency improves with scale [5][4]