Enrollment Stability ConcernsPre-COVID effectuation trends indicate that final enrollment could be more than 20% lower than initial plan selections, raising concerns about membership stability.
HIX Market RiskThe HIX Proposed Rule likely creates significant disruption in coming years, with risks to HIX margins being significant due to accelerating cost trends and rising market-level risk scores.
Medicaid Margin PressureQ4 results were messy, with higher Medicaid MLR creating a more difficult jump-off point heading into 2025.