Medicaid Managed Care Tracker

More than two-thirds of all Medicaid beneficiaries nationally receive most or all of their care from risk-based managed care organizations (MCOs) that contract with state Medicaid programs to deliver comprehensive Medicaid services to enrollees. Although not all state Medicaid programs contract with MCOs, a large and growing majority do, and states are also rapidly expanding their use of MCOs to serve more medically complex beneficiaries, deliver long-term services and supports, and, in states that have expanded Medicaid under the Affordable Care Act (ACA), to serve millions of newly eligible low-income adults.

To enhance understanding and analysis of the Medicaid managed care market, the Medicaid Managed Care Market Tracker provides state-level, MCO-level, and parent firm-level information related to comprehensive Medicaid MCOs. 

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View individual indicators included in this collection by clicking the icon next to indicators in the “View Indicator” column.

Additional Resources

To learn more about managed care, see “10 Things to Know about Medicaid Managed Care”, a brief that highlights key facts about state use of comprehensive, risk-based managed care using data from this tracker and other KFF resources.

Create a Custom State Report

Use this page to start a custom report compiling data related to Medicaid managed care for a single state or multiple states.

Step 1: Choose from the selection of State Health Facts indicators below by clicking the “+” button next to indicators in the “Add to Custom State Report” column.

Step 2: Once you’ve selected the indicators to include, click “Select States” at the bottom of the page to choose the states to be included in the report.

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Medicaid MCO-Level Data

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Medicaid MCO Parent Firm-Level Data

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Medicaid MCO State-Level Spending Data

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Medicaid MCO State-Level Access Standards & Contract Requirements

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About this Data Collection

This Data Collection, the Medicaid Managed Care Market Tracker, provides information related to risk-based Medicaid managed care organizations (MCOs) that provide comprehensive services, including acute care services and, in some cases, long-term services and supports as well, to Medicaid enrollees. In addition, the Tracker provides information on parent firms that own Medicaid MCOs in two or more states.

Separate from the comprehensive Medicaid MCO-related indicators, the tracker also includes a collection of other broader managed care state-level data which show enrollment in any “managed care” models including Primary Care Case Management (PCCM) programs, prepaid ambulatory or inpatient health plans (PHPs), and the Program for All-inclusive Care for the Elderly (PACE).

The data in the Medicaid Managed Care Tracker are current to the date or period specified in the sources for each table.

The information in this Tracker is public information and may be reproduced with appropriate citation.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.