{
 "schema": "healthandtechnow.datadesk.state-feed",
 "schema_version": "1.1",
 "state": "TX",
 "state_name": "Texas",
 "built": "2026-10-24T10:46:31-05:00",
 "enrollment_month": "October 2026",
 "plan_year": 2027,
 "sample": "Sample only: 3 of 421 Texas plans and 1 of 254 counties (Harris), with the first 2 ending plans and first 3 moves. The full file comes with a paid plan.",
 "sources": [
  {
   "file": "CMS CY2027 Medicare Advantage plan file (Landscape), Oct 2026 release",
   "released": "2026-10",
   "url": "https://www.cms.gov/files/zip/cy2027-landscape-202610.zip"
  },
  {
   "file": "CMS CY2026 Medicare Advantage plan file (Landscape), Sep 2026 release",
   "released": "2026-09",
   "url": "https://www.cms.gov/files/zip/cy2026-landscape-202609.zip"
  },
  {
   "file": "CMS Monthly Enrollment by State/County/Contract (CPSC), October 2026",
   "released": "2026-10",
   "url": "https://www.cms.gov/files/zip/monthly-enrollment-cpsc-october-2026.zip"
  },
  {
   "file": "CMS 2027 Plan Crosswalk",
   "released": "2026-10-01",
   "url": "https://www.cms.gov/files/zip/plan-crosswalk-2027.zip"
  },
  {
   "file": "CMS 2027 Star Ratings Data Tables",
   "released": "2026-10-08",
   "url": "https://www.cms.gov/files/zip/2027-star-ratings-data-tables-oct-8-2026.zip"
  },
  {
   "file": "CMS 2026 Star Ratings Data Tables",
   "released": "2025-10",
   "url": "https://www.cms.gov/files/zip/2026-star-ratings-data-tables.zip"
  },
  {
   "file": "CMS PBP Benefits 2027 (plan benefit package files)",
   "released": "2026-10-01 (last modified)",
   "url": "https://www.cms.gov/files/zip/pbp-benefits-2027.zip"
  },
  {
   "file": "CMS CY2026 Agent Broker Compensation Data",
   "released": "2026-03-23 (last modified)",
   "url": "https://www.cms.gov/files/zip/cy-2026-agent-broker-compensation-data.zip"
  }
 ],
 "notes": [
  "CMS hides enrollment counts of 10 or fewer; those count as 0 and set hidden_rows, so every member total is a floor.",
  "Exits cover individual plans (plan ID under 800) in the October 2026 CPSC file.",
  "agent_pay_2026 is the highest first year pay per enrollment the plan reported for 2026; null when the plan has no 2026 row. CY2027 file: MISSING.",
  "Premium is the monthly consolidated premium (Part C plus Part D) before any Part B giveback or extra help.",
  "benefits_2027 (added in 1.1, G9) is what the plan filed in the CMS PBP Benefits 2027 file: in network copays as the Medicare cost share, allowances per period. On dual plans Medicaid often pays the copay. null when the plan is not in the file.",
  "star_measures_url (added in 1.1, G10) points to every 2027 measure star for the contract, from the CMS 2027 Star Ratings Data Tables (Oct 8, 2026).",
  "Facts from public CMS files, prepared by Health and Tech Now. Not plan advice."
 ],
 "plans": [
  {
   "plan_id": "H0028_032_0",
   "name": "Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)",
   "parent": "Humana Inc.",
   "type": "HMO D-SNP",
   "snp": "D",
   "premium": 0.0,
   "moop": 9850.0,
   "stars_2027": 4.5,
   "stars_2026": 3.5,
   "part_d": true,
   "agent_pay_2026": 694,
   "benefits_2027": {
    "giveback_month": 0.0,
    "otc_amount": 1320.0,
    "otc_per": "year",
    "otc_shared": true,
    "dental_prev_max": 3000.0,
    "dental_comp_max": null,
    "dental_per": "year",
    "dental_shared": true,
    "pcp": "20%",
    "specialist": "20%",
    "er": "$115",
    "inpatient": "$2,150 a stay"
   },
   "star_measures_url": "/data/ma-stars/H0028.json"
  },
  {
   "plan_id": "H3868_003_3",
   "name": "UHC Dual Complete TX-Q6 (HMO-POS D-SNP)",
   "parent": "UnitedHealth Group, Inc.",
   "type": "HMO-POS D-SNP",
   "snp": "D",
   "premium": 0.0,
   "moop": 9850.0,
   "stars_2027": null,
   "stars_2026": null,
   "part_d": true,
   "agent_pay_2026": null,
   "benefits_2027": {
    "giveback_month": 0.0,
    "otc_amount": 70.0,
    "otc_per": "month",
    "otc_shared": true,
    "dental_prev_max": 1500.0,
    "dental_comp_max": null,
    "dental_per": "year",
    "dental_shared": true,
    "pcp": "0% to 20%",
    "specialist": "0% to 20%",
    "er": "$115",
    "inpatient": "$2,050 a stay"
   },
   "star_measures_url": "/data/ma-stars/H3868.json"
  },
  {
   "plan_id": "H4054_001_0",
   "name": "Provider Partners Texas Advantage Plan (HMO I-SNP)",
   "parent": "Rifkin Managed Care Holding, LLC",
   "type": "HMO I-SNP",
   "snp": "I",
   "premium": 6.3,
   "moop": 9850.0,
   "stars_2027": 4.0,
   "stars_2026": 5.0,
   "part_d": true,
   "agent_pay_2026": 694,
   "benefits_2027": {
    "giveback_month": 0.0,
    "otc_amount": 70.0,
    "otc_per": "3 months",
    "otc_shared": false,
    "dental_prev_max": 4600.0,
    "dental_comp_max": null,
    "dental_per": "year",
    "dental_shared": true,
    "pcp": "20%",
    "specialist": "20%",
    "er": "20%",
    "inpatient": null
   },
   "star_measures_url": "/data/ma-stars/H4054.json"
  }
 ],
 "counties": [
  {
   "fips": "48201",
   "name": "Harris",
   "plans_2027": [
    "H0028_032_0",
    "H3868_003_3",
    "H4054_001_0"
   ],
   "plan_count_2026": 114,
   "members_oct_2026": 409170,
   "insurers": [
    {
     "parent": "UnitedHealth Group, Inc.",
     "members": 146827
    },
    {
     "parent": "Health Care Service Corporation",
     "members": 64775
    },
    {
     "parent": "CVS Health Corporation",
     "members": 47884
    },
    {
     "parent": "Humana Inc.",
     "members": 45271
    },
    {
     "parent": "Centene Corporation",
     "members": 33408
    }
   ],
   "agent_pay_2026_county": null,
   "exits_2027": {
    "members": 350683,
    "stay": 282448,
    "moved": 41279,
    "must_pick": 26956,
    "hidden_rows": 385,
    "ending_plans": [
     {
      "plan_id_2026": "H7115_001",
      "name": "Memorial Hermann Advantage (HMO)",
      "parent": "Memorial Hermann Health System",
      "members": 8683,
      "hidden": false,
      "reason": "plan_terminated"
     },
     {
      "plan_id_2026": "H1278_014",
      "name": "AARP Medicare Advantage from UHC TX-0006 (PPO)",
      "parent": "UnitedHealth Group, Inc.",
      "members": 7047,
      "hidden": false,
      "reason": "plan_terminated"
     }
    ],
    "moves": [
     {
      "from_plan_id_2026": "H8849_010",
      "from_name": "Wellpoint Full Dual Advantage (HMO D-SNP)",
      "to_plan_id_2027": "H8849_022",
      "to_name": "Wellpoint Full Dual Advantage Select (HMO D-SNP)",
      "members": 15758,
      "hidden": false
     },
     {
      "from_plan_id_2026": "H4514_021",
      "from_name": "UHC Dual Complete TX-S003 (HMO-POS D-SNP)",
      "to_plan_id_2027": "H3868_001",
      "to_name": "UHC Dual Complete TX-Y1 (HMO-POS D-SNP)",
      "members": 14389,
      "hidden": false
     },
     {
      "from_plan_id_2026": "H4514_024",
      "from_name": "UHC Dual Complete TX-Q3 (HMO-POS D-SNP)",
      "to_plan_id_2027": "H3868_003",
      "to_name": "UHC Dual Complete TX-Q6 (HMO-POS D-SNP)",
      "members": 5962,
      "hidden": false
     }
    ]
   }
  }
 ]
}