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Exchanges—1Q26 Stat Filings Show Solid Evidence of Margin Recovery Despite Overly Conservative Risk Adj Assumptions
研报英文原文证据摘录
Exchanges—1Q26 Stat Filings Show Solid Evidence of Margin Recovery Despite Overly Conservative Risk Adj Assumptions
Equity Research
Multi Company Update — June 4, 2026
Managed Care
Exchanges—1Q26 Stat Filings Show Solid
Evidence of Margin Recovery Despite Overly
Conservative Risk Adj Assumptions
Rating Changes
Our Call Rating Price Target
Exchange stat filings show MLRs -500bps y/y despite plans booking risk adj too Ticker Curr. Prior Curr. Prior
conservatively. While still early, enrollment and morbidity impacts appear to be tracking OSCR EW UW $20.00 $11.00
better than we feared, and we are more confident in meaningful margin recovery.
Early Exchange Read. Industry MLRs were down 350bps y/y in 1Q26 & 500bps y/y Stephen Baxter, CFA
when rebalancing 1H25 PMPMs to reflect risk adj visibility improving at mid-year. This Equity Analyst | Wells Fargo Securities, LLC
Stephen.Baxter@wellsfargo.com | 212-214-8041
improvement looks understated, as plans seem to be collectively booking risk adj too
Mitchell Ostrovskyconservatively in 1Q26. Overall, enrollment & morbidity impacts appear to be tracking
better than we feared in 2026 and now see meaningful margin recovery as more probable. AssociateMitchell.Ostrovsky@wellsfargo.comEquity Analyst | Wells Fargo| 212-214-7243Securities, LLC
That said, the trajectory of this market beyond 2026 remains quite uncertain.
Thomas Muller
Associate Equity Analyst | Wells Fargo Securities, LLC
Risk Adjustment (RA). With RA on the exchanges a zero-sum game, we looked to see if Thomas.Muller@wellsfargo.com | 332-214-6218
there were indications that non-zero y/y changes in accruals are being made – whether James Lemmis
too many plans are assuming their RA position improved / deteriorated than is possible.
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