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  • Medicaid Managed Care: The Big Five in Q1 2026

    The “Big Five” have reported their financial and enrollment results for the first calendar quarter of 2026. The “Big Five” are the five largest publicly-traded insurers, measured by enrollment, in the Medicaid managed care market. Four of them—United Health Group, Elevance, CVSHealth/Aetna, and Centene, in that order—were also the four largest commercial health insurers by…

  • Meeting Families Where They Are: How Medicaid Can Strengthen Children’s Health Through Community Health Workers

    When a child misses a well-child visit, falls behind on immunizations, or goes undiagnosed with a chronic condition, the consequences can ripple across a lifetime. Children whose health needs are addressed early are more likely to thrive academically, economically, and physically as adults. Yet for families navigating delays to care amid fragmented health and social…

  • Where Interests Conflict: Medicaid Managed Care Meets Work Reporting Requirements

    Q2 ended on June 30, and the earnings calls have started.  The first of the “Big Five” Medicaid managed care companies out of the gate was Elevance Health.  The financial analysts on last week’s call had a number of questions relating to the Medicaid provisions of the Budget Reconciliation Law (BRL) P.L. 119-21, that create…