McKinsey March 25, 2019
The Medicaid program has experienced significant changes since 2010, when the Affordable Care Act was passed. Five trends are likely to affect how the program will change over the next five to ten years.
The Medicaid program has experienced significant changes since 2010, when the Affordable Care Act (ACA) was passed. Since then, the number of beneficiaries has risen approximately 40 percent (to about 73 million in 2018, from 55 million),1 a result of both eligibility expansion and the carving in of additional populations. This growth has attracted greater interest and participation from health insurers, provider-led health plans, investors, and healthcare service vendors. These stakeholders, together with federal and state governments, are reshaping the program in significant ways. Below we...