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Evensun Health Substack

Wesley Sanders

A Substack from Evensun Health about the Affordable Care Act, health policy, and health insurance operations

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PricingOnly free issuesPublishesWeekly
Issues6Founded6 months agoLast Issue12 days ago
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Latest Issues

The Profitability Paradox: Why Platinum Plans Are Both the Best and Worst Bet in the ACA

We’re going to take a detour from NBPP analysis to dive deep into something we uncovered while working on our NBPP analysis.

In my last post, I shared a chart I almost didn’t publish because I thought the results might not be correct, name...

12 days ago
5

NBPP 2027 - Analysis and Implications

On Friday, CMS finalized the Notice of Benefit and Payment Parameters for 2027. Over the next few weeks, my team and I will be breaking down some of the key changes (and key things that won’t change) that we think are important.

We’re stil...

14 days ago
6

What the 2026 OEP Public Use Files Actually Show

The First ACA Enrollment Decline in Years: What the 2026 OEP Public Use Files Actually Show

CMS just dropped the 2026 Open Enrollment Period Public Use Files, and for the first time since the ARP-era enhanced subsidies began, ACA marketp...

2 months ago
3

Medicare Advantage is not the ACA

I was fortunate to spend Christmas in the United Kingdom - my brother and his wife live there and were expecting a baby in early January. Usually, they come back to the United States for family Christmas, but with it being so close to the d...

5 months ago
1

Rate Setting and Regulating is Hard

After my post yesterday, a few folks reached out to me and suggested I may be wrong on why Kaiser is being suppressed. I alluded to the possibility of network capacity being one of the reasons, but I focused on the financial losses. I think...

6 months ago

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  • Wesley Sanders

    Founder of Evensun Health. I write about the idiosyncrasies of the Affordable Care Act markets and related topics.

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