VladaOmega
Sign inStart free
Reports →Long form, one per release. · 1
The key table from 3.15 million Medicare Advantage members must pick a new plan for 2027Report 1 · Medicare Advantage3.15 million Medicare Advantage members must pick a new plan for 2027Oct 19, 2026 · 8 pagesPDF · data pack
Posts →One table or chart each, as posted on LinkedIn. · 32
IDR in 2025: the typical award held at 4 times the plan's own rate. UnitedHealth's went up.IDR in 2025: the typical award held at 4 times the plan's own rate. UnitedHealth's went up.Oct 23, 2026CMS pulled complaints from the 2028 Star Ratings. The plans that aced it lose the most off their measure averages.CMS pulled complaints from the 2028 Star Ratings. The plans that aced it lose the most off their measure averages.Oct 22, 2026Elevance lost 353,000 regular Medicare Advantage members in a year. Its dual plans held.Elevance lost 353,000 regular Medicare Advantage members in a year. Its dual plans held.Oct 21, 2026In 891 counties, Devoted's new 2027 plans are the only MAPDs pairing money back with big dental.In 891 counties, Devoted's new 2027 plans are the only MAPDs pairing money back with big dental.Oct 20, 2026C-SNP plans for 2027: fewer meals, higher costsC-SNP plans for 2027: fewer meals, higher costsOct 19, 2026Jardiance needs approval first for 23% of Medicare Advantage drug plan members, up from none.Jardiance needs approval first for 23% of Medicare Advantage drug plan members, up from none.Oct 18, 2026UnitedHealthcare adds an approval step to 4 common pills for 2027. Humana raises 3 a tier.UnitedHealthcare adds an approval step to 4 common pills for 2027. Humana raises 3 a tier.Oct 18, 2026C-SNP plans had 430,000 members at the end of 2022. By October 2026 they had 1.86 million.C-SNP plans had 430,000 members at the end of 2022. By October 2026 they had 1.86 million.Oct 18, 2026Medicare negotiated 15 drugs for 2027. Nine need approval first.Medicare negotiated 15 drugs for 2027. Nine need approval first.Oct 15, 2026Medicare Advantage's shrinking OTC allowanceMedicare Advantage's shrinking OTC allowanceOct 14, 2026UNH's OTC allowance is going awayUNH's OTC allowance is going awayOct 14, 20262.9 million UnitedHealth members are in 4-star contracts that cleared the line by less than 0.12.9 million UnitedHealth members are in 4-star contracts that cleared the line by less than 0.1Oct 13, 2026UnitedHealth's 752,808-member Texas plan kept its 4 stars by 0.021 of a pointUnitedHealth's 752,808-member Texas plan kept its 4 stars by 0.021 of a pointOct 13, 2026Three of the biggest insurers sell in fewer counties for 2027. Devoted Health adds 342.Three of the biggest insurers sell in fewer counties for 2027. Devoted Health adds 342.Oct 12, 20263.2 million must choose.3.2 million must choose.Oct 8, 20262027 Star Ratings are out: 71% of members are in 4+ star plans. The bonus changed hands.2027 Star Ratings are out: 71% of members are in 4+ star plans. The bonus changed hands.Oct 8, 20262027 Star Ratings: the national number held at 71%. Your state's did not.2027 Star Ratings: the national number held at 71%. Your state's did not.Oct 8, 2026CMS released the 2027 Medicare Advantage crosswalk file: 3.15 million lose their plan, 2.12 million are moved to another plan.CMS released the 2027 Medicare Advantage crosswalk file: 3.15 million lose their plan, 2.12 million are moved to another plan.Oct 5, 2026Before 2025, no insurer dropped more than 300,000 Medicare Advantage members in a year. Since then, three have done it eight times.Before 2025, no insurer dropped more than 300,000 Medicare Advantage members in a year. Since then, three have done it eight times.Oct 5, 2026Insurers project Medicare Advantage will shrink in 2027. CMS says they guess low. It has a point.Insurers project Medicare Advantage will shrink in 2027. CMS says they guess low. It has a point.Oct 2, 2026After plans leave a county, Medicare Advantage holds up where insurers compete and shrinks where they don'tAfter plans leave a county, Medicare Advantage holds up where insurers compete and shrinks where they don'tSep 30, 2026Losing your Medicare Advantage plan keeps happening in the same statesLosing your Medicare Advantage plan keeps happening in the same statesSep 29, 2026CMS released the 2027 Medicare Advantage Landscape file.CMS released the 2027 Medicare Advantage Landscape file.Sep 28, 2026The 2027 Landscape file: about 3 million lose their plan again.The 2027 Landscape file: about 3 million lose their plan again.Sep 28, 2026In Florida, a typical hospital charges 5.9 times what its care cost. In North Dakota, 1.4 times.In Florida, a typical hospital charges 5.9 times what its care cost. In North Dakota, 1.4 times.Sep 10, 2026A blood test is charged about 5 times what it cost the hospital.A blood test is charged about 5 times what it cost the hospital.Sep 9, 2026Medicare Advantage prior authorization exposure by geographyMedicare Advantage prior authorization exposure by geographyAug 27, 2026258 contracts reveal the spread behind 8 parent averages258 contracts reveal the spread behind 8 parent averagesAug 26, 2026$7,115 on the chargemaster. $128 in estimated CT-department cost.$7,115 on the chargemaster. $128 in estimated CT-department cost.Aug 13, 2026Texas appears in 869,943 published IDR disputes.Texas appears in 869,943 published IDR disputes.Aug 10, 2026The same knee, from $9,350 to $44,187.The same knee, from $9,350 to $44,187.Aug 6, 2026One hospital. One surgery. Ten different prices.One hospital. One surgery. Ten different prices.Aug 5, 2026