Latest
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Medicaid Managed Care: The Big Five in Q3 2025
Q3 2025 is the first quarter of a new chapter in the Medicaid managed care narrative. At the beginning of the quarter, H.R. 1 was enacted. As explained by our colleagues Edwin Park and Sabrina Corlette, the new law will upend Medicaid enrollment and financing for years to come, cutting federal payments to states by…
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Who Cares for Our Nation’s Children? Federal Medicaid Cuts Will Magnify Challenges for Child Care Workforce and the Young Families They Support
Last spring we walked through Medicaid’s role in supporting early childhood educators and subsequently the risks of proposed federal Medicaid cuts to the child care system. Fast forward to July 4th: the HR 1 “Megabill” was rushed through reconciliation and signed into law, leading to the biggest cut in Medicaid’s 60-year history. These cuts– and…
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Medicaid Managed Care: The Big Five in Q2 2025
Q2 2025, which ended on June 30, is not just another quarter. That’s because on July 4 the Budget Reconciliation Law (P.L. 119-21) was signed into law. That law makes major cuts to Medicaid, reducing federal payments to states by $990 billion over the next ten years and leaving 7.5 million Americans uninsured in 2034.…
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Medicaid Managed Care: Headwinds for the Big Five in the Budget Reconciliation Law
Early this week FitchRatings posted its take on the implications of the Budget Reconciliation Law (P.L. 119-21) for the “Big Five” insurers— Centene, CVSHealth/Aetna, Elevance Health, Molina Healthcare, and UnitedHealth Group—that together account for half of the Medicaid managed care market: U.S. health insurers managing coverage for state Medicaid programs will face revenue headwinds due…
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The One Big, Beautiful Bill Act will Mean Big Budget Hits for Families
Last month, Congress rushed through the night to pass the One Big, Beautiful Bill Act with last minute changes that would further increase cuts to many federal programs. In the health care sections, the bill primarily targets adults – including many parents and caregivers – who gained health coverage from the Affordable Care Act (ACA)…
