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.


Related Reports

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.

View Details

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...

View Details

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...

View Details

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...

View Details