View the Latest: Managed Care
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Dual-Eligible Enrollment in Medicaid Managed Care, by Plan Type
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Medicaid MCO Enrollment by Plan and Parent Firm, 2024
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Medicaid Financing: The Basics
Issue BriefMedicaid represents $1 out of every $5 spent on health care in the U.S. and is the major source of financing for states to provide health coverage and long-term services and supports for low-income residents. This brief examines key questions about Medicaid financing and how it works.
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Medicare Advantage Enrollment Grew by About 1 Million People, Mainly Due to Special Needs Plans
Issue BriefJust over 35 million people are enrolled in Medicare Advantage in February 2026, an increase of 1.1 million since a year ago. The increase was largely driven by increased enrollment in special needs plans.
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Health Insurer Financial Performance in 2024
Issue BriefThis analysis of trends in health insurers’ financial data shows that insurers’ gross margins per enrollee dipped slightly in 2024 across four markets, remaining highest in the Medicare Advantage market, followed by the individual (non-group) market, the fully insured group (employer) market, and Medicaid managed care. The analysis also examines insurers’ medical-loss ratios across the four markets.
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Medicaid Managed Care Reporting and Transparency: Managed Care Program Annual Reports
Issue BriefThis brief describes the Managed Care Program Annual Report (MCPAR), a relatively new, comprehensive report on state Medicaid managed care programs that includes plan-level data. It is aimed at improving state and federal managed care program monitoring, oversight, and transparency.
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Medicaid Home Care (HCBS) in 2025
Issue BriefThis issue brief provides an overview of what Medicaid home care (also known as “home- and community-based services” or HCBS) is, who is covered, and what services were available in 2025.
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State Medicaid Officials Project Flat Enrollment Post Unwinding but Increased Spending and Budget Pressures, as States Prepare for Impact of Federal Medicaid Policy Changes
News ReleaseAs states completed the “unwinding” of pandemic-era continuous coverage, Medicaid enrollment fell 7.6% in FY 2025 and is expected to be largely flat in FY 2026. At the same time, total Medicaid spending grew by 8.6% in FY 2025 and is expected to grow by 7.9% in FY 2026.
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A View of Medicaid Today and a Look Ahead: Balancing Access, Budgets and Upcoming Changes
ReportThis report highlights key policy priorities and issues state Medicaid programs focused on in FY 2025 and are prioritizing in FY 2026.