Overall commercial enrollment in North Dakota has been strong despite a recent economic slump following a global plunge in oil prices. The job market dynamics indicate managed care organizations will continue to see room for growth, although large, well-entrenched carriers with broad provider networks will likely be the primary beneficiaries. Sanford Health Plan continues to administer benefits for the Medicaid expansion population, while a RFP for new contracts has been issued. On the Medicare front, more seniors are gravitating to managed care and this means growth for large national carriers.

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