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A Look at Medicaid Enrollment and Finances of the Five Largest Medicaid Managed Care Plans

The five largest publicly traded firms operating Medicaid Managed Care Organizations (MCOs) have experienced enrollment fluctuations and financial uncertainties due to the unwinding of the pandemic-era Medicaid continuous enrollment provision. Despite a decline in enrollment of over 7 million since March 2023, the firms saw a 20% enrollment increase compared to the start of the pandemic. They also reported higher member acuity and greater utilization of services. While some firms reported increased Medicaid revenue, potential decreases in profit margins were identified.

Source: www.kff.org –

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