Clover Health Reports 27% Growth in Medicare Advantage Membership, Surpassing 100,000 Lives After Strong Annual Election Period
13 Janvier 2025 - 3:00PM
Clover Health Investments, Corp. (Nasdaq: CLOV) (“Clover,” “Clover
Health” or the “Company”), today announced a
27%
year-over-year growth of its Medicare Advantage (MA) membership
during the most recent Annual Election Period (AEP). The Company
enters 2025 with over
100,000 members,
approximately
95% of whom are enrolled in Clover’s
flagship 4-Star PPO plan.
“Driven by robust plan benefits and our 4 Star rating, we’ve
delivered exceptional member growth, and I feel honored to bring so
many new people into our unique model of care,” said Andrew Toy,
CEO of Clover Health. “We invest deeply in using technology to
improve clinical outcomes through the earlier identification,
management and treatment of chronic disease, a clear differentiator
from our peers. Looking forward, we will take advantage of the
strong market opportunity in front of us, by making strategic
investments in growth as well as continuing to widen our AI-powered
technology moat.”
Clover’s 4-Star rating PPO plan reflects the Company’s deep
investment in care quality, with top performance across key HEDIS
measures—an industry standard for healthcare quality. This
achievement also positions Clover for an anticipated 5% benchmark
increase in payment year 2026 (PY26), strengthening the company’s
ability to reinvest in improving benefits and further accelerating
membership growth.
Jamie Reynoso, CEO of Medicare Advantage at Clover Health,
added: “Our foundational investments over the last few
years—ranging from enhanced care management to operational
efficiencies—are paying off. Keeping a keen focus on improving the
health of our members, by being an active participant in their care
management, Clover is in an incredibly strong position to continue
this above-market growth trajectory while of course maintaining
profitability. Our strong membership growth, coupled with the
expected 2026 tailwinds of our 4-Star rating and increasing impact
of our integrated care model, positions Clover for long-term
Medicare Advantage success. We’re excited to keep pushing
forward.”
About Clover Health:
Clover Health (Nasdaq: CLOV) is a physician
enablement technology company committed to bringing access to great
healthcare to everyone on Medicare. This includes a focus on
seniors who have historically lacked access to affordable,
high-quality healthcare. Our strategy is powered by our software
platform, Clover Assistant, which is designed to aggregate patient
data from across the healthcare ecosystem to support clinical
decision-making and improve health outcomes through the early
identification and management of chronic disease. For our members,
we provide PPO and HMO Medicare Advantage plans in several states,
with a differentiated focus on our flagship wide-network,
high-choice PPO plans. For healthcare providers outside Clover
Health's Medicare Advantage plan, we extend the benefits of our
data-driven technology platform to a wider audience via our
subsidiary, Counterpart Health, and aim to enable enhanced patient
outcomes and reduced healthcare costs on a nationwide scale. Clover
Health has published data demonstrating the technology’s impact on
Medication Adherence, as well as the earlier identification and
management of Diabetes and Chronic Kidney Disease.
Forward-Looking Statements
This press release contains forward-looking
statements within the meaning of Section 27A of the Securities Act
of 1933, as amended, and Section 21E of the Securities Exchange Act
of 1934, as amended. Forward-looking statements include statements
regarding future events and Clover Health's future results of
operations, financial condition, market size and opportunity,
business strategy and plans, and the factors affecting our
performance and our objectives for future operations.
Forward-looking statements are not guarantees of future performance
and you are cautioned not to place undue reliance on such
statements. In some cases, you can identify forward looking
statements because they contain words such as "may," "will,"
"should," "expects," "plans," "anticipates," "going to," "can,"
"could," "should," "would," "intends," "target," "projects,"
"contemplates," "believes," "estimates," "predicts," "potential,"
"outlook," "forecast," "guidance," "objective," "plan," "seek,"
"grow," "if," "continue" or the negative of these words or other
similar terms or expressions that concern Clover Health's
expectations, strategy, priorities, plans or intentions.
Forward-looking statements in this press release include, but are
not limited to, the following: statements regarding the Company’s
Annual Election Period results and 2025 market growth and their
anticipated effects on the Company’s financial performance, the
anticipated number of Clover Health Insurance members, Adjusted
EBITDA profitability, and the Company’s Star Ratings and its affect
on future membership growth and profitability, as well as the
statements contained in the quotations of our executive officers
and other expectations as to future performance, operations and
results. Forward-looking statements regarding our Adjusted EBITDA
profitability are based on our current targets which are
preliminary and are derived from our 2025 financial outlook. These
statements are subject to known and unknown risks, uncertainties
and other factors that may cause our actual results, levels of
activity, performance or achievements to differ materially from
results expressed or implied by forward-looking statements in this
press release. Forward-looking statements involve a number of
judgments, risks and uncertainties, including, without limitation,
risks related to: our expectations regarding results of operations,
financial condition, and cash flows; our expectations regarding the
development and management of our Insurance business; our ability
to successfully enter new service markets and manage our
operations; anticipated trends and challenges in our business and
in the markets in which we operate; our ability to effectively
manage our beneficiary base and provider network; our ability to
maintain and increase adoption and use of Clover Assistant,
including the expansion of Clover Assistant for external payors and
providers under the brand name Counterpart Assistant; the
anticipated benefits associated with the use of Clover Assistant,
including our ability to utilize the platform to manage our medical
care ratios; our ability to maintain or improve our Star Ratings or
otherwise continue to improve the financial performance of our
business; our ability to develop new features and functionality
that meet market needs and achieve market acceptance; our ability
to retain and hire necessary employees and staff our operations
appropriately; the timing and amount of certain investments in
growth; the outcome of any known and unknown litigation and
regulatory proceedings; any current, pending, or future
legislation, regulations or policies that could have a negative
effect on our revenue and businesses, including rules, regulations,
and policies relating to healthcare and Medicare; our ability to
maintain, protect, and enhance our intellectual property; general
economic conditions and uncertainty; persistent high inflation and
interest rates; and geopolitical uncertainty and instability.
Additional information concerning these and other risk factors is
contained under Item 1A. “Risk Factors” in our most recent Annual
Report on Form 10-K filed with the Securities and Exchange
Commission (the "SEC") on March 14, 2024, as such risks may be
updated in our subsequent filings with the SEC. The forward-looking
statements included in this press release are made as of the date
hereof. Except as required by law, Clover Health undertakes no
obligation to update any of these forward-looking statements after
the date of this press release or to conform these statements to
actual results or revised expectations.
Press Contact:Andrew
Still-Baxterpress@cloverhealth.com
Investor Relations Contact:Ryan
Schmidtinvestors@cloverhealth.com
Clover Health Investments (NASDAQ:CLOV)
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