Medicaid has grown by millions of lives in recent years, largely as a result of Medicaid expansion under the Affordable Care Act. The number of states expanding their Medicaid programs under the ACA or in waivers sanctioned by the Centers for Medicare & Medicaid Services has increased to 31 plus the District of Columbia. That growth changes Medicaid's patient mix significantly in the expansion states, where Medicaid effectively becomes an income-based healthcare safety net. This report explores MCO growth, plan penetration, pharmacy control by MCOs, state-based care coordination efforts, and the impact of the ACA expansion to stakeholders, and includes updated Decision Resources Group enrollment data as of July 2015.
Centene | National MCO Analyzer | 2020 (Event Driven)
Centene’s acquisition of WellCare cements Centene’s dominant position in the managed Medicaid segment and expands its Medicare Advantage membership.
Connecticut | Medicaid Profile | National MCO Analyzer | 2020 (Event Driven)
State Medicaid Profiles offer a dashboard of key MCO players and enrollment, recent policy actions, and pharmacy trends for all 50 states, the District of Columbia, and Puerto Rico. Sections most rec...
UnitedHealth Group | National MCO Analyzer | 2020 (Event Driven)
UnitedHealth Group has used its influence as a top national managed care organization to assist patients and providers in the battle against the novel coronavirus outbreak. UnitedHealth announced it w...
Cigna | National MCO Analyzer | 2020 (Event Driven)
Like most major insurers, Cigna has instituted numerous changes in response to the pandemic, including waiving cost-sharing on COVID-19-related services and launching a consumer protection program. As...