Oliver Wyman November 25, 2025
Haitham Aly, Megan Anstett, Greg Berger, Brinda Doshi, and Dan Hassing

Rising premiums, higher out-of-pocket expenses, and leaner benefits are redefining value as plans rebalance cost sharing and risk selection in 2026.

Editor’s note: This article is part of a series analyzing changes to Medicare Advantage plans for the 2026 annual enrollment period. A previous article highlighted how insurers are reducing overall product counts, exiting certain counties, and consolidating offerings.

With the 2026 annual enrollment period more than halfway over, many Medicare Advantage beneficiaries shopping for a plan have likely seen key changes to benefits from past years. Medicare Advantage carriers made changes to offset the financial and operational pressures. As a result, many beneficiaries will face rising premiums, increasing maximum out-of-pocket (MOOP) limits, and growing prescription drug deductibles. This article...

Today's Sponsors

Venturous
ZeOmega

Today's Sponsor

Venturous

 
Topics: Insurance, Medicare Advantage
Sick of Fighting Insurers, Hospitals Offer Their Own Medicare Advantage Plans
CMS proposes nearly flat Medicare Advantage payments for 2027: 5 notes
How Risk Adjustment Affects Payment for Medicare Advantage Plans
SCAN Group CEO On The Principles That Prevent Health Care Obsolescence
SCAN Group’s Dr. Sachin Jain: Under-the-Radar Leadership Principles for Health Care

Share Article