Medicare Advantage, Part D, Medicaid

Vlada Plan Value (Method Lock 1.0 + PV-55, signed 2026-10-17; served build v19e) market cells, national / state / county x product type x plan type x parent, 2026 and 2027 levels

medicare_semantic.vw_plan_value_cells·live·semantic_view
Rows
129,363
Columns
74
History
N/A
Card
nocolumns only
Typed tools
1

What it is

  1. 1Vlada Plan Value member-weighted: each value is the signed sum over September 2026 members divided by the members valued (plan_value_cells_v19e at base_year 2026, recommended fixcard3_design_on, read straight).
  2. 2Served build v19e = Method Lock 1.0 (v19d, signed by Ben 2026-10-15, final 2026-10-16) + PV-55 (the ER copay charged on every visit, CMS's convention), signed by Ben 2026-10-17 on docs/ma-value-engine/lock/v19/GATE-RECEIPT-v19e.json as the Plan Value for launch (docs/ma-value-engine/V19-2025-2027.md): the v16 method plus the v18c / v18d / v18e fixes, the SSBCI eligibility rule, U3, D3 and the extras read through one reader on benefit edition v20261015d;
  3. 32027 Part D FINAL on CMS's CY2027 formulary;
  4. 4CY2025 built (not in this view; the table carries base_year 2025 too).
  5. 52026 = every 2026 member in their 2026 plan;
  6. 62027 = the same members followed to their 2027 plan (same plan or CMS's crosswalk), priced on the 2026 cohort, statute and dollars.
  7. 7Columns: the headline and its five legs, the minimum-end and maximum-end values, the card bounds, the headline without Part D, the filed design with its legs, ends and bounds, the valued shares, and for D-SNP the full-dual column and the share of members in $0-cost-sharing segments.
  8. 8Pinned version: medicare_semantic.vw_plan_value_cells_v19e (served build v19e).
  9. 9Owner source: register w3 vlada_w3_benvat.

Grain

KeyGrain
N/A
  1. 1One row per geography_level x state x county_ssa x product_type x plan_type x parent_organization (129,363 rows = 129,363 distinct keys, measured 2026-10-08 on vw_plan_value_cells_v16, _v17b, _v18 (2026-10-09), _v19d (2026-10-16) and _v19e (2026-10-17);
  2. 2792 national, 3,834 state, 124,737 county;
  3. 352 states and territories, 3,116 counties, 166 parents + ALL). plan_type 'ALL' = every plan type of the product type; parent_organization 'ALL' = the whole market. product_type is never pooled ('ALL' is not served).

Columns (74)

ColumnTypeMeaning
geography_levelvarchar(8)
statestring
county_ssastring
county_namestring
product_typestring
snp_typevarchar(5)
plan_typestring
parent_organizationstring
headline_definitionvarchar(9)
members_2026double
members_2027_followeddouble
valued_share_2026double
valued_share_2027double
plan_value_2026double
plan_value_min_end_2026double
plan_value_max_end_2026double
plan_value_card_low_2026double
plan_value_card_high_2026double
plan_value_2027double
plan_value_min_end_2027double
plan_value_max_end_2027double
plan_value_card_low_2027double
plan_value_card_high_2027double
medical_cost_sharing_value_2026double
extras_value_2026double
part_d_value_2026double
part_b_buydown_value_2026double
member_premium_2026double
medical_cost_sharing_value_min_end_2026double
medical_cost_sharing_value_max_end_2026double
medical_cost_sharing_value_2027double
extras_value_2027double
part_d_value_2027double
part_b_buydown_value_2027double
member_premium_2027double
medical_cost_sharing_value_min_end_2027double
medical_cost_sharing_value_max_end_2027double
plan_value_excl_part_d_2026double
plan_value_excl_part_d_2027double
filed_design_plan_value_2026double
filed_design_min_end_2026double
filed_design_max_end_2026double
filed_design_card_low_2026double
filed_design_card_high_2026double
filed_design_medical_value_2026double
filed_design_extras_value_2026double
filed_design_part_d_value_2026double
filed_design_part_b_buydown_value_2026double
filed_design_member_premium_2026double
filed_design_valued_share_2026double
filed_design_plan_value_2027double
filed_design_min_end_2027double
filed_design_max_end_2027double
filed_design_card_low_2027double
filed_design_card_high_2027double
filed_design_medical_value_2027double
filed_design_extras_value_2027double
filed_design_part_d_value_2027double
filed_design_part_b_buydown_value_2027double
filed_design_member_premium_2027double
filed_design_valued_share_2027double
dsnp_full_dual_plan_value_2026double
dsnp_zero_dollar_cost_sharing_share_2026double
dsnp_full_dual_plan_value_2027double
dsnp_zero_dollar_cost_sharing_share_2027double
part_d_2027_filed_sharedouble
part_d_2027_carried_sharedouble
part_d_2027_refused_sharedouble
range_basisvarchar(23)
card_rulevarchar(33)
buildvarchar(14)
variantvarchar(18)
atomsvarchar(26)
value_labelvarchar(7)

Query it

describe_data_source(source_fqn="medicare_semantic.vw_plan_value_cells")     # the card, live
query_substrate(sql="SELECT * FROM medicare_semantic.vw_plan_value_cells WHERE <filter> LIMIT 100")
ItemValue
Typed tools that read itget_plan_value
Identity keygeography_level,state,county_ssa,product_type,plan_type,parent_organization
Joinhow_to_join(source_fqn="medicare_semantic.vw_plan_value_cells")
Raw doorAthena (read-only via query_substrate): medicare_semantic.vw_plan_value_cells
Company namesparent_organization resolve to a permanent Vlada ID: resolve_entity(text=<name>); the company pages hold owners and holdings

This page as markdown: /docs-md/data/medicare_semantic_vw_plan_value_cells.md · every page in one file: /llms-full.txt