Tag
Risk Adjustment
CMS-HCC risk adjustment models, RAF scores, and their impact on Medicare Advantage plan economics.
Health Insurance
ACA Marketplace 2026: Subsidy Cliff, Enrollment Shock, and What Actuaries Need to Know
February 21, 2026Enhanced subsidies expired, enrollment dropped to ~23M, median premiums up 18%, Aetna exited. Deep actuarial analysis of risk pool dynamics, adverse selection, state subsidies, and GLP-1 cost pressures.
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Health Insurance
Medicare Advantage in 2026: What Actuaries Need to Know About the Market Shakeup
February 21, 2026V28 risk adjustment, 2.9M forced disenrollments, benefit reductions, and the first enrollment decline in nearly 20 years. A comprehensive analysis for health actuaries.
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