Latest
-
Medicaid Managed Care: The Big Five in Q4 2024
The “Big Five” earnings results for Q4 of 2024 are now in. The “Big Five” are the publicly-held companies that together control half of the Medicaid managed care market: Centene, CVSHealth/Aetna, Elevance Health, Molina Healthcare, and UnitedHealth Group. (There are five nonprofit Medicaid managed care organizations (MCOs) with significant regional or single-state market footprints, but…
-
Medicaid Managed Care in 2024: The Year That Was
2024 was a year of transition for Medicaid managed care. At the federal level, there were significant revisions in regulatory requirements relating to access to care and increases in transparency about MCO performance. At the state level, the end of the unwinding of the public health emergency continuous eligibility requirement meant the end of the…
-
Medicaid Managed Care and Early Childhood Development: A 12-state Scan
Summary and Key Findings The first five years of a child’s life are a period of rapid growth and development. During this time, frequent check-ups are essential to monitor a child’s progress so that if a problem is identified an intervention can occur before things get worse. Medicaid, a primary source of health care coverage…
-
Medicaid Managed Care: Results of the PHE Unwinding for the Big Five in Q3 2024
Another quarter, another round of earnings reports from the “Big Five.” The story of Q3 continues the basic narrative of Q1 and Q2. For all but one of the companies that dominate the Medicaid managed care market, net Medicaid enrollment continued to decline, driven primarily by the PHE unwinding. There is one new wrinkle, however.…