Traditionally a minor player in managed Medicaid compared to other managed care organizations, Humana is adding three new states to its managed Medicaid book following its award of Medicaid contracts in Oklahoma and South Carolina, and its acquisition of a full ownership stake in Wisconsin-based iCare. The three markets are expected to add tens of thousands of new members to the insurerÕs Medicaid segment, and expand its ability to provide coverage for the dual eligible population that qualifies for both Medicare and Medicaid. Dual eligibles have been a focal point for the company recently, especially as Humana looks to improve chronic care management and address social determinants of health for many low-income seniors.

Related Reports

Medicaid Analyzer | 2021 | National MCO Analyzer

The Biden administration has begun pulling back Medicaid changes advanced by Trump officials that would restrict eligibility, add wellness requirements, allow block grants, or increase recipient co...

View Details

Cigna | 2021 | National MCO Analyzer

CignaÕs base of large self-insured employer groups translates into a membership that is mostly urban and fully employed. It works to tailor its care-management and service offerings and bene...

View Details

Federal Employees Health Benefit Program | 2020 | National MCO Analyzer Trends

Enrollment in the Federal Employee Health Benefits Program is most heavily concentrated in the Washington, D.C., market and California, driving enrollment to program carriers including CareFirst, K...

View Details

Premera Blue Cross | 2021 | National MCO Analyzer Brief

As the COVID-19 pandemic emergency slowly resolves, watch for Premera Blue Cross to return its attention to behavioral health to improve health outcomes for patients. For example, in April 2021, th...

View Details