What 2027 asks of health plans: four pressures, one data foundation
By Susheel Ladwa, Onyx CEO January 1, 2027 is a crowded date for health plans. The four FHIR APIs required under CMS-0057-F go live. Medicaid expansion adults move to six-month redeterminations and work requirements. A new Medicare Advantage payment year starts under revised risk adjustment rules. All of it lands during the steepest commercial cost […]