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Medicaid Managed Care: The Big Five in Q4 2025
The Q4 2025 results for the “Big Five” Medicaid managed care companies are now available. These publicly-held companies—Centene, CVSHealth/Aetna, Elevance, Molina, and UnitedHealth Group—together control about half of the Medicaid managed care market, so their performance matters to tens of millions of Medicaid beneficiaries. (The results for prior quarters in 2025 are here, here, and…
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Florida Bill Would Waste Money on a Lose-Lose Plan to Punish Very Low-Income Parents
As readers of the SayAhhh! Health Policy blog know, states that have taken up the Affordable Care Act’s (ACA) Medicaid expansion are now mandated to impose a punitive work reporting requirement as of January 1, 2027. Florida has not taken up the expansion and covers very few adults, but Florida legislators are considering a bill…
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FY26 Appropriations Act Funds Maternal Health Initiatives, Falls Short of Investments Needed to Address Maternal and Infant Mortality Crisis
On February 3, Congress passed and the President signed into law H.R. 7148, the Consolidated Appropriations Act, which includes funding levels for the Federal Fiscal Year 2026 (FFY26) Labor, Health and Human Services, Education, and Related Agencies (LHHS). These funding levels will continue through September 30, 2026. The appropriations measure provides critical funding for key…
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Self-Help Tools and Tutorials Are Critical to Implementing Medicaid Work Reporting Requirements
Last week we updated our scan of Medicaid renewal tutorials and self-help tools in advance of implementation of semi-annual renewals for the Medicaid expansion group starting in 2027. For all enrollees, not just expansion adults, it’s important for states to keep these resources updated and relevant. And it’s not too early to start thinking about…
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Fact-Checking Dr Oz’ Claims About Rural Health Investments
CMS Administrator Mehmet Oz makes two statements in this short video that are not correct: Rural areas and small towns need assistance with health care affordability, quality and accessibility. The Rural Health Transformation Fund, despite its origin as a political maneuver to enable passage of the 2025 federal budget reconciliation law (HR1), means substantial help…