{"generated_at":"2026-10-05T04:50:49Z","sources":["CY2026_Landscape_202609.csv","CY2027_Landscape_202609.csv","CPSC_Enrollment_Info_2026_09.csv"],"status":"PRELIMINARY: 2027 CMS Plan Crosswalk not yet published; changes are Landscape-to-Landscape comparisons, not confirmed exits.","fields":["kind","plan_id","plan_name","organization","type","members_2026_09","likely_replacement_plan_id"],"types":{"hmo":"HMO","ppo":"PPO","dsnp":"D-SNP","csnp":"C-SNP","isnp":"I-SNP","pffs":"PFFS","other":"Other MA"},"national":{"not_in_2027":26423,"county_drop":4973,"new_2027":23792,"members_affected":5266118,"members_no_replacement":2322321,"counties":3110},"states":{"AL":{"counties":67,"not_in_2027":223,"county_drop":103,"new_2027":742,"members_affected":26730,"members_no_replacement":12894},"AR":{"counties":75,"not_in_2027":879,"county_drop":90,"new_2027":553,"members_affected":17174,"members_no_replacement":15336},"AZ":{"counties":15,"not_in_2027":100,"county_drop":6,"new_2027":101,"members_affected":67840,"members_no_replacement":23604},"CA":{"counties":54,"not_in_2027":290,"county_drop":26,"new_2027":260,"members_affected":270584,"members_no_replacement":198044},"CO":{"counties":64,"not_in_2027":578,"county_drop":127,"new_2027":306,"members_affected":53234,"members_no_replacement":22938},"CT":{"counties":8,"not_in_2027":122,"county_drop":0,"new_2027":65,"members_affected":87708,"members_no_replacement":77182},"DC":{"counties":1,"not_in_2027":6,"county_drop":1,"new_2027":2,"members_affected":2190,"members_no_replacement":1794},"DE":{"counties":3,"not_in_2027":8,"county_drop":2,"new_2027":6,"members_affected":3409,"members_no_replacement":672},"FL":{"counties":67,"not_in_2027":750,"county_drop":250,"new_2027":616,"members_affected":442925,"members_no_replacement":96141},"GA":{"counties":159,"not_in_2027":1247,"county_drop":240,"new_2027":1113,"members_affected":106218,"members_no_replacement":67980},"HI":{"counties":5,"not_in_2027":20,"county_drop":0,"new_2027":24,"members_affected":23343,"members_no_replacement":3776},"IA":{"counties":99,"not_in_2027":797,"county_drop":141,"new_2027":857,"members_affected":59738,"members_no_replacement":46294},"ID":{"counties":44,"not_in_2027":152,"county_drop":99,"new_2027":99,"members_affected":63225,"members_no_replacement":55233},"IL":{"counties":102,"not_in_2027":961,"county_drop":119,"new_2027":435,"members_affected":81060,"members_no_replacement":46342},"IN":{"counties":92,"not_in_2027":1009,"county_drop":175,"new_2027":1050,"members_affected":147728,"members_no_replacement":37680},"KS":{"counties":105,"not_in_2027":401,"county_drop":242,"new_2027":421,"members_affected":25899,"members_no_replacement":11344},"KY":{"counties":120,"not_in_2027":1333,"county_drop":51,"new_2027":1473,"members_affected":95426,"members_no_replacement":26871},"LA":{"counties":64,"not_in_2027":630,"county_drop":113,"new_2027":833,"members_affected":106306,"members_no_replacement":30141},"MA":{"counties":14,"not_in_2027":117,"county_drop":8,"new_2027":113,"members_affected":138083,"members_no_replacement":51217},"MD":{"counties":24,"not_in_2027":170,"county_drop":43,"new_2027":36,"members_affected":35907,"members_no_replacement":31768},"ME":{"counties":16,"not_in_2027":122,"county_drop":26,"new_2027":78,"members_affected":89370,"members_no_replacement":25549},"MI":{"counties":83,"not_in_2027":549,"county_drop":211,"new_2027":533,"members_affected":136320,"members_no_replacement":63853},"MN":{"counties":86,"not_in_2027":570,"county_drop":212,"new_2027":199,"members_affected":394456,"members_no_replacement":87464},"MO":{"counties":115,"not_in_2027":905,"county_drop":72,"new_2027":1091,"members_affected":73933,"members_no_replacement":24096},"MS":{"counties":82,"not_in_2027":352,"county_drop":72,"new_2027":966,"members_affected":41646,"members_no_replacement":7576},"MT":{"counties":40,"not_in_2027":196,"county_drop":6,"new_2027":18,"members_affected":18554,"members_no_replacement":18554},"NC":{"counties":100,"not_in_2027":776,"county_drop":124,"new_2027":722,"members_affected":181149,"members_no_replacement":31852},"ND":{"counties":53,"not_in_2027":253,"county_drop":25,"new_2027":119,"members_affected":11982,"members_no_replacement":7514},"NE":{"counties":93,"not_in_2027":972,"county_drop":424,"new_2027":985,"members_affected":52290,"members_no_replacement":10755},"NH":{"counties":10,"not_in_2027":23,"county_drop":7,"new_2027":34,"members_affected":24500,"members_no_replacement":22903},"NJ":{"counties":21,"not_in_2027":203,"county_drop":32,"new_2027":177,"members_affected":63857,"members_no_replacement":62951},"NM":{"counties":33,"not_in_2027":387,"county_drop":7,"new_2027":203,"members_affected":72748,"members_no_replacement":62218},"NV":{"counties":14,"not_in_2027":54,"county_drop":0,"new_2027":75,"members_affected":47379,"members_no_replacement":13251},"NY":{"counties":62,"not_in_2027":860,"county_drop":91,"new_2027":614,"members_affected":354252,"members_no_replacement":209084},"OH":{"counties":88,"not_in_2027":2410,"county_drop":200,"new_2027":1372,"members_affected":323053,"members_no_replacement":221429},"OK":{"counties":77,"not_in_2027":570,"county_drop":187,"new_2027":281,"members_affected":45050,"members_no_replacement":16261},"OR":{"counties":25,"not_in_2027":153,"county_drop":49,"new_2027":125,"members_affected":182933,"members_no_replacement":95175},"PA":{"counties":67,"not_in_2027":643,"county_drop":157,"new_2027":732,"members_affected":164965,"members_no_replacement":47873},"PR":{"counties":78,"not_in_2027":271,"county_drop":0,"new_2027":362,"members_affected":24865,"members_no_replacement":17904},"RI":{"counties":5,"not_in_2027":5,"county_drop":0,"new_2027":0,"members_affected":300,"members_no_replacement":300},"SC":{"counties":46,"not_in_2027":60,"county_drop":32,"new_2027":232,"members_affected":9651,"members_no_replacement":9651},"SD":{"counties":50,"not_in_2027":168,"county_drop":138,"new_2027":158,"members_affected":31838,"members_no_replacement":11084},"TN":{"counties":95,"not_in_2027":1072,"county_drop":44,"new_2027":1074,"members_affected":202226,"members_no_replacement":19929},"TX":{"counties":254,"not_in_2027":3004,"county_drop":428,"new_2027":2417,"members_affected":442163,"members_no_replacement":159932},"UT":{"counties":27,"not_in_2027":78,"county_drop":45,"new_2027":79,"members_affected":49525,"members_no_replacement":30243},"VA":{"counties":133,"not_in_2027":524,"county_drop":228,"new_2027":921,"members_affected":55565,"members_no_replacement":23334},"VT":{"counties":6,"not_in_2027":0,"county_drop":2,"new_2027":8,"members_affected":93,"members_no_replacement":93},"WA":{"counties":39,"not_in_2027":603,"county_drop":33,"new_2027":267,"members_affected":169283,"members_no_replacement":87788},"WI":{"counties":72,"not_in_2027":467,"county_drop":161,"new_2027":355,"members_affected":113330,"members_no_replacement":50520},"WV":{"counties":55,"not_in_2027":372,"county_drop":122,"new_2027":487,"members_affected":26909,"members_no_replacement":18728},"WY":{"counties":3,"not_in_2027":8,"county_drop":2,"new_2027":3,"members_affected":7206,"members_no_replacement":7206}},"top_organizations":[["UnitedHealth Group, Inc.",447448],["Humana Inc.",305158],["CVS Health Corporation",241982],["Centene Corporation",161414],["Health Care Service Corporation",131979],["Lifetime Healthcare, Inc.",86482],["Molina Healthcare, Inc.",85554],["Elevance Health, Inc.",69592],["Kaiser Foundation Health Plan, Inc.",67326],["Providence St Joseph Health",52989],["Blue Cross Blue Shield of Michigan Mutual Ins. Co.",49802],["Aware Integrated, Inc.",47460],["MEDICAL MUTUAL OF OHIO",44893],["Horizon Mutual Holdings, Inc",42349],["Corewell Health",41792]],"unmatched_counties":0}