Learn · Medicare · RADV · Horizon Aegis
Don't book vacated extrapolation as a CMS recovery.
If a pitch treats nationwide RADV extrapolation as current law, it is selling a vacated rule. We will not do that.
What was vacated
The 2023 RADV Final Rule's nationwide extrapolation was vacated in Humana v. Becerra. Sample-only exposure is the honest figure on a live briefing.
What JIL still offers
B11 (mean + finite-population correction + Student-t 90%) is coded and held ready, not active. It is a self-ID / reserve scenario. It is never a booked CMS liability.
How Horizon Aegis talks about money
Simulated sample exposure. Stress tests. Labels say model exposure. They do not say 'CMS will take this.'
FAQ
Can we run a B11 scenario?
Yes, as a scenario. The flag defaults off. Do not book it.
What number belongs in a board pack?
Sample-only V22/V24 support findings. Not vacated nationwide extrapolation.