Commentary|Articles|March 2, 2026

Medicare Advantage Reckoning Hits 2026 Enrollment: Mark Meiselbach, PhD

Fact checked by: Christina Mattina

Nearly 3 million MA enrollees may lose plan coverage in 2026 as payment reforms drive market exits, hitting rural areas hardest and reshaping competition, explains Mark Meiselbach, PhD.

The Medicare Advantage (MA) landscape is shifting from a period of predictable growth to one of significant volatility, as close to 10% of all enrollees—roughly 2.9 million individuals—are projected to face forced disenrollment in 2026, according to new research from Mark Meiselbach, PhD, a health economist and assistant professor in the Department of Health Policy and Management at Johns Hopkins Bloomberg School of Public Health, and his team. Meiselbach explains that this trend stems from necessary market corrections intended to address historical government overpayments.