Webinar
Are you playing checkers, or chess?
Some plans are reacting to this AEP. Others are already three moves ahead. This session shows you the difference, and exactly where your plan stands
Peter Rodes
Jim Politte
Matt Feret
Defend membership
Know which of your members are actually at risk before a competitor's move puts them there.
Grow where it's profitable
Where you have the right to win and the right economics, not just where volume is available.
Protect margin
"No margin, no members", the theme every plan on the call agreed with, live.
Inside the 2027 Medicare Advantage AEP: challenges every plan is facing
A preview of the session, and where we already have an answer.
What happens to your membership when a competitor exits your market?
We walked through a live teardown of a regional plan's exit from Medicare Advantage in one state, roughly 30,000 members, and modeled which payers stand to inherit that membership based on provider network overlap alone. A national payer disclosed a similar move in a recent earnings call, exiting service areas covering roughly 600,000 members for 2027. Neither is isolated.
See who inherits that membership before it shows up in your enrollment numbers.
See Network Strategy →Is your Part D deductible strategy quietly costing you Star Ratings points?
We compared deductible strategies across major payers' recent bids, and the pattern held: a deductible in front of a benefit measurably reduces adherence, and adherence drives a meaningful share of your Part D Star score. That trade-off matters more this cycle, with CMS still working through a Star Ratings recalculation following a legal challenge earlier this year.
Map your deductible-to-Star tradeoff before you file your bid.
See Bid & Benefit Strategy →What happens to your enrollment if a competitor moves first?
We ran a war-gaming scenario during the session, modeling how a single deductible change from one plan could shift several thousand members in a single county. That kind of move doesn't show up in a press release. It shows up in first-looks data, if you're set up to model it fast enough.
Run the same scenario in minutes, before a competitor moves first.
See the Benefit Simulator →What is a rising share of non-commissionable products actually telling you?
Payers are increasingly using commissions as a behavior lever, not just a sales expense line, cutting or eliminating pay on specific products to steer where the field sells, and where it doesn't. Reading that signal early, alongside network and service-area moves, is what separates plans reacting on 10/1 from plans that already adjusted.
Track signals like this as they happen, in 12 Hrs after CMS data release.
See MarketIntel →What did the room really think?
A few of the questions we put to health plan leaders live, the full breakdown is in the deck.
See exactly how the room answered.
Enter your email to see the full poll breakdown.Quick answers
What is Medicare Advantage war gaming?
Running competitor scenarios, a benefit change, a service area exit, a commission cut, through your own enrollment and margin model before it happens, using first-looks data instead of waiting for the official 10/1 release.
Why are Medicare Advantage payers exiting service areas in 2026?
Margin protection. One national payer disclosed 2027 service area reductions affecting roughly 600,000 members in a recent earnings call, and a regional health plan is exiting Medicare Advantage entirely after sustained underwriting losses. Both are part of a broader retrenchment toward profitable counties and products.
What's the difference between NetworkIntel and ProductIntel at HealthWorksAI?
NetworkIntel analyzes provider network adequacy and disruption, who inherits membership when a competitor's network or service area changes. ProductIntel compares benefit design, total plan value, and out-of-pocket cost against competitors, including the Star Ratings trade-offs baked into those choices.
How is the 2027 Medicare Advantage AEP shaping up so far?
The 2027 Medicare Advantage AEP is shaping up to be one of the more disruptive cycles in recent years: multiple payers reducing service areas or exiting markets outright, continued use of commissions to steer distribution, and Star Ratings uncertainty following a CMS recalculation after a legal challenge. Plans that model these signals before 10/1 have the advantage.
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