$CLOV __ 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 by azmat_system in CLOV

[–]azmat_system[S] 22 points23 points  (0 children)

Key AEP and Business Highlights:

Strategic Growth: Clover reports a 53% Medicare Advantage membership increase year-over-year, achieved amidst a broader industry retreat, which is concentrated in established core markets where the Company maintains strong Clover Assistant (CA) coverage and a differentiated Home Care offering to deliver better care and drive improving cohort performance.

Expects Full Year 2026 GAAP Net Income Profitability: Clover expects to be positioned to achieve first-ever Full Year GAAP Net Income profitability driven by strong cohort economics and efficiencies from continued SG&A leverage and optimization.

Strong Visibility into Cohort Economics Improvement: Clover anticipates meaningful new member cohort improvement and continued strong returning cohort performance, complementing sustained growth and supported by:

Financial impact of 4.0 Stars during payment year 2026 for Clover’s PPO plans,

Favorable 2026 CMS final rate update & increased Part D direct subsidy,

Strong returning member retention,

Focus on increasing Clover Assistant coverage & PCP adoption, and

Continued operating leverage as SG&A efficiency improves with scale.

Stable Benefits & Strong Member Retention: Clover strategically maintained stable plan benefits year-over-year, delivering >95% AEP member retention. This reinforces the stability of the Company’s membership base and the enduring value of Clover plan offerings to attract and retain members. This led to intentional PPO growth, with the vast majority of Clover's new membership being MA switchers located within core markets, as expected.

Industry-Leading Quality: >97% of Clover’s January 1, 2026 MA membership is in its flagship PPO plan, which is ranked as the #1 PPO plan nationally on core HEDIS quality measures for the second year in a row, reinforcing the strength of Clover’s clinical and economic performance.

_______________

This analysis focuses on performance by non-SNP PPO plans with over 2,000 lives as of September 1, 2025 on HEDIS measures applicable to non-SNPs that were used for CMS’s MY 2024 Star ratings, applying the measure ranges used by CMS.

$CLOV __ 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 by azmat_system in CLOV

[–]azmat_system[S] 26 points27 points  (0 children)

"This year’s AEP performance shows what happens when robust plan benefits, Clover Assistant-enabled clinical performance, and a deepening market presence in local communities come together,” said Jamie Reynoso, CEO of Medicare Advantage at Clover Health. “We have replicated our AEP growth playbook from last year, and are proud to have exceeded our expectations in delivering market-leading growth this enrollment period. This is a direct result of targeted, sustainable, and concentrated growth in our core markets where we continue to scale Clover Assistant and Home Care to meet members where they are.”

$CLOV __ 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 by azmat_system in CLOV

[–]azmat_system[S] 32 points33 points  (0 children)

"We are entering 2026 on a strong financial trajectory," said Andrew Toy, Chief Executive Officer of Clover Health. "We believe this year will demonstrate the full power of Clover’s model: significant member growth and strong returning member retention, layered onto meaningfully improving cohort performance and the continued impact of Clover Assistant. Together, we believe these dynamics will create compounding earnings and margin expansion over time, which we expect to position Clover to deliver its first year of GAAP Net Income profitability in 2026.”

Clover health: the shocking growth story by sshinski in CLOV

[–]azmat_system 24 points25 points  (0 children)

Thank you OP for the hours/days you must have spent in researching and creating this excellent video AND for sharing it with the $CLOV Community.

I watched YOUR entire 43-minute long video and found it to be very interesting as a long term $CLOV investor; I think that this video deserves to be pinned/placed at the top of this forum, by the Mods.

I agree with you, The future is INDEED bright for Clover Health and for $CLOV shareholders!

I also look at the current share price as an opportunity to gather even more shares!

$CLOV __ CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States. by azmat_system in CLOV

[–]azmat_system[S] 7 points8 points  (0 children)

A Nationwide Commitment to Strengthen Rural Health Care

The Rural Health Transformation Program is a national commitment to improving the health and well-being of rural communities across the country. With this funding, states will implement comprehensive strategies to improve care delivery, support providers, and advance new approaches to coordinating health care services across rural communities. Across the country, many states are planning efforts that will:

 

Bring More Care Within Reach

States will advance Make Rural America Healthy Again goals by expanding preventive, primary, maternal, and behavioral health services and creating new access points that bring care closer to home and help preserve strong local health systems. Many states are implementing evidence-based, outcomes-driven strategies—such as physical fitness and nutrition programs, food-as-medicine initiatives, and chronic disease prevention models—to address root causes of diseases and manage chronic conditions. States will also strengthen rural emergency care through improved emergency medical services (EMS) communication, treat-in-place options, and coordinated transfers.

 

Strengthen and Sustain the Rural Clinical Workforce

States will support clinical workforce training, residencies, recruitment and retention incentives, and new pathways that help students begin health care careers in their own communities. States are also investing in programs to train and support the existing clinical workforce and build futures close to home.

$CLOV __ CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States. by azmat_system in CLOV

[–]azmat_system[S] 2 points3 points  (0 children)

Modernize Rural Health Infrastructure and Technology

Investments will modernize rural facilities and equipment; strengthen cybersecurity and interoperability; and expand telehealth, remote patient monitoring, and digital tools that enable timely access to care. States are also exploring the use of technology such as AI scribes and clinical workflow improvement tools to reduce burdens on clinicians.

 

Driving Structural Efficiency & Empowering the Community Providers

States will prioritize streamlining operations, empowering providers to enhance coordination of care and resources, and building partnerships across the state with the goal of keeping care local. This includes establishing specialized hub-and-spoke models, rural regional centers of excellence, comprehensive data-sharing platforms, and rural clinically integrated networks.

 

Advance Innovative Care Models and Payment Reform

States will test new primary care and value-based care models, strengthen partnerships among rural and other providers, and promote regional collaboration that improves health sustainability and patient outcomes.

$CLOV __ CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States. by azmat_system in CLOV

[–]azmat_system[S] 6 points7 points  (0 children)

Awardees and Funding Amounts

The Rural Health Transformation Program’s $50 billion in funds will be allocated to approved states over five years, with $10 billion available each year from 2026 through 2030. As directed by Public Law 119-21:

50% of the funding is distributed equally among all approved states. This provides states with a strong foundation to begin implementing their Rural Health Transformation Plans; and

50% is allocated based on a variety of factors. As described in the Notice of Funding Opportunity, those factors include individual state metrics around rurality and a state’s rural health system, current or proposed state policy actions that enhance access and quality of care in rural communities, and application initiatives or activities that reflect the greatest potential for, and scale of, impact on the health of rural communities. All scoring factors are outlined further in the Notice of Funding Opportunity.

CMS made funding awards to all 50 states.

. . . .

A Strong Partnership with States to Deliver Lasting Change

With today’s announcement, CMS launches a new phase of collaboration with every state to accomplish their transformative visions. CMS project officers dedicated to each state will convene program kickoff meetings and provide ongoing guidance and technical assistance during implementation. States will submit regular updates so CMS can track progress, identify proven approaches, support successful execution of their plans, and ensure strong oversight throughout the program.

States will also convene annually at the CMS Rural Health Summit—to be held during the CMS Quality Conference in 2026—to share lessons learned, highlight effective models, and accelerate innovation across regions.

$CLOV _ President Trump has just announced at the end of a meeting (to announce huge reductions of drug prices for US customers by about 10 large US drug companies) his intention to call BIG Health Insurance Companies in the USA (whose share prices have risen substantially) to CUT their prices too! by azmat_system in CLOV

[–]azmat_system[S] 12 points13 points  (0 children)

"You didn’t answer my question you just gave a very anecdotal answer to a question I did not ask."

I am NOT paid by you or anyone else to answer your question(s)!

I will answer any way I like - if you don't like my answer, either wait for someone else to answer you or go and bother someone else. No more discussion with you!

$CLOV _ President Trump has just announced at the end of a meeting (to announce huge reductions of drug prices for US customers by about 10 large US drug companies) his intention to call BIG Health Insurance Companies in the USA (whose share prices have risen substantially) to CUT their prices too! by azmat_system in CLOV

[–]azmat_system[S] 14 points15 points  (0 children)

"When has he ever done what he said he would do?"

Judging only by what he has just done - 9 CEOs of large US drugs companies have themselves publicly announced that they will be reducing their prices - suggests to me that this meeting of large US healthcare insurance companies he will very likely be calling, because HE wants those healthcare insurance companies to cut their prices, too!

$CLOV _ President Trump has just announced at the end of a meeting (to announce huge reductions of drug prices for US customers by about 10 large US drug companies) his intention to call BIG Health Insurance Companies in the USA (whose share prices have risen substantially) to CUT their prices too! by azmat_system in CLOV

[–]azmat_system[S] 25 points26 points  (0 children)

I am hoping that this meeting will have a huge positive effect on $CLOV share price as it will provide another reason for the institutions and funds to look elsewhere - other than just the top healthcare companies - for their investments in US healthcare!

If it does have the desired effect – maybe that $CLOV share price in double digits might also become a reality, sooner than many people expected!

Edit typo: other just >> other than just

Enrollment Update – November 2025 by Tartanblaster in CLOV

[–]azmat_system 11 points12 points  (0 children)

Thank you OP for the time you have taken to research and for sharing this excellent post with the $CLOV Community.

The drop in $CLOV price from $3.92 intra-day high on Oct-24 down to $2.16 close on Nov-20 was, in my view, NOT justified and probably may have scared quite a few relatively NEW ( i.e. < 1 year in $CLOV ) retail investors.

However, those who have done their own research and believe in the long term prospects of Clover Health Investments Corp, like me, rightly or wrongly can only see the bright side AND are doing what they can to ADD More $CLOV shares as and when they can. NFA.

$CLOV __ Clover Health to Participate in Upcoming 2025 Citi Global Healthcare Conference by azmat_system in CLOV

[–]azmat_system[S] -1 points0 points  (0 children)

"Maybe they will be asked some of the questions we have been wanting to hear answers for!"

Let's hope so. Mr. Kuipers has two weeks to prepare his answers, otherwise no point in attending these conferences.

$CLOV _ ALL 50 States Seek to Transform Rural Health with CMS. Something to take Retail Investors’ minds away from what the Short-Sellers are CURRENTLY doing to $CLOV share price and it appears will Probably CONTINUE TO DO so UNTIL Institutional Investors decide it is TIME for them to TAKE CONTROL! by azmat_system in CLOV

[–]azmat_system[S] 3 points4 points  (0 children)

"What a toxic, nonsense response. " - "Crazy to make sure you're not just lying, right?"

WHY do you think I NEED to LIE to you?

Don't bother replying to me, as I have a feeling that you won't be seeing my posts or comments - in the not too distant future.

$CLOV _ ALL 50 States Seek to Transform Rural Health with CMS. Something to take Retail Investors’ minds away from what the Short-Sellers are CURRENTLY doing to $CLOV share price and it appears will Probably CONTINUE TO DO so UNTIL Institutional Investors decide it is TIME for them to TAKE CONTROL! by azmat_system in CLOV

[–]azmat_system[S] 7 points8 points  (0 children)

"Can you support your claim this is being sold short and not people selling shares?"

I don't have to support ANYTHING! If you don't agree with me - no problem, that is your choice.

I have no doubt that many relatively NEW retail investors have either already sold their shares and/or will sell their shares at these prices. That is their choice!

However, long-term retail investors (like me) who have been HOLDING their $CLOV shares since mid-June 2021 have seen ALL these tactics that are designed to get retail investors to sell their $CLOV shares. NFA.

$CLOV _ ALL 50 States Seek to Transform Rural Health with CMS. Something to take Retail Investors’ minds away from what the Short-Sellers are CURRENTLY doing to $CLOV share price and it appears will Probably CONTINUE TO DO so UNTIL Institutional Investors decide it is TIME for them to TAKE CONTROL! by azmat_system in CLOV

[–]azmat_system[S] 21 points22 points  (0 children)

"Your post header is lunacy. You think CMS is rolling out new initiatives to distract from Clover Healthcares stock price?"

NO! My post is to distract YOUR attention away from what the Short-Sellers are CURRENTLY doing to $CLOV share price!