Health Affairs January 27, 2026
Editor’s Note
This article is part of a Health Affairs Forefront featured topic, Medicaid Financing. The featured topic includes analysis, proposals, and commentary that will inform policies on the state and federal levels to address sustainability, efficiency, and access to care in Medicaid programs. Submissions will be reviewed on a rolling basis until the deadline. Health Affairs Forefront alone reviews all submissions then selects, edits, and publishes them only if they meet Forefront’s editorial standards. We are grateful to Arnold Ventures for supporting this work.
More than 70 million Medicaid beneficiaries receive care through comprehensive, risk-based managed care. In its simplest form, states pay managed care organizations (MCOs) a fixed, risk-adjusted per-member payment to assume financial risk for insuring Medicaid...
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