I will add a couple of things I've learned about ACA MAGI during my first year of FIRE.
If you still have any W-2 or self-employment income at all, stuff as much of it as you can into qualified retirement accounts. That gets it out of your AGI, and thus out of your MAGI. If you have a choice between earning W-2 income and self-employment income, choose self-employment because you can put way more of that into a solo 401k and IRA. Whatever you do, don't use these earnings to fund living expenses until you've totally maxed out all of your qualified retirement account contributions. You are better off pulling money out of investments to fund living expenses (see below).
If you are pulling money out of investments to fund living expenses, emphasize qualified Roth withdrawals (if you are old enough) and seasoned Roth conversions. These funds were already taxed when you put them in the Roth, so they don't count toward AGI/MAGI when you pull them out. Use your standard deduction to cover additional Roth conversions. Sell investments in a taxable account as a last resort, because any capital gains add to your AGI/MAGI. If you have to sell taxable investments, look for opportunities to realize capital losses to offset the gains. Not saying you should lose money on purpose, but if you are holding some losers, they can be an opportunity to fund living expenses without reducing your premium tax credit.
If you have the opportunity to make some extra money beyond the amount necessary to fill up your retirement accounts, run the numbers carefully to see what impact it will have on your premium tax credit and cost sharing. If you are near the sweet spot where the PTC is covering almost all of your premium, earning extra money causes a pretty steep decline in your PTC. In addition, it causes an even steeper decline in the cost-sharing amount that covers part of your deductible and co-payments. I had an opportunity to earn some extra money this year, and in my personal situation the combined reduction in PTC and cost sharing was so steep that if I had gotten sick, it might have actually cost me more than the extra money I earned. I went ahead and did it anyway, and the gamble paid off since I didn't get sick. Even so, I only get to keep about 60% of what I earned due to the reduction in PTC. Mine was somewhat of a unique situation, because I had some earnings from my job at the beginning of the year, and those filled up my retirement accounts and my standard deduction, so I had nowhere to hide the side gig money. Bottom line, run the numbers for your own situation, considering the likelihood that you'll incur major health expenses.