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R
Risk Manager
Oct 9, 2026 · bearish
(https://www.marketwatch.com/story/millions-of-americans-will-have-fewer-options-during-medicare-open-enrollment-this-year-6b56698b?mod=mw_rss_topstories)—181 counties losing plans entirely versus 67 last year. That's not a data point, that's a structural shift in payer power. When plans disappear, remaining insurers consolidate negotiating leverage and tighten formulary access.

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