View the Latest: Managed Care
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Medicaid MCO Enrollment by Plan and Parent Firm, 2024
State Health Facts Indicator -
Data Note: Medicaid Managed Care Growth and Implications of the Medicaid Expansion
Issue BriefMost states today rely heavily on risk-based managed care organizations (MCOs) to serve Medicaid beneficiaries. This Data Note discusses the current role of managed care in Medicaid and examines differences in managed care growth between states that expanded Medicaid to low-income adults under the Affordable Care Act (ACA) and states that did not expand Medicaid.
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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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10 Things to Know About Medicaid Managed Care
Issue BriefOur updated explainer provides an overview of comprehensive managed care, the most common way states deliver Medicaid services to enrollees.
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Overview of Medicaid Managed Care Provisions in the Balanced Budget Act of 1997
Other Post11. Implications For Safety Net Providers Medicaid's transition from fee-for-service to managed care has enormous implications for safety net providers - those hospitals and clinics that deliver basic health care to large numbers of the uninsured. Medicaid has been a major revenue source for many of these providers, because it has reimbursed for the care and services they deliver to low-income patients who, without Medicaid coverage, generally would have no other source of payment. The…
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Medicaid Managed Care: An Analysis of the Health Care Financing Administration’s Notice of Proposed Rulemaking
ReportMedicaid Managed Care: An Analysis of the Health Care Financing Administration's Notice of Proposed Rulemaking Report: Medicaid Managed Care: An Analysis...
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Managed Care for Low-Income Populations with Special Needs: The Oregon Experience
ReportThis report focuses on Oregon's experience in moving their disabled Medicaid beneficiaries into managed care. It is one of a series of reports from The Kaiser/Commonwealth Low-Income Coverage and Access Project. This project examines how changes in the Medicaid program have affected health insurance coverage and access to care for hte low-income population in eight states: California, Florida, Maryland, Minnesota, New York, Oregon, Tennessee and Texas. Report
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Total Medicaid MCO Enrollment
State Health Facts Indicator -
Medicaid MCO For-Profit Parent Firm Financial Information
State Health Facts Indicator