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.
Medicaid spending makes up nearly 30 percent of state budgets, and in a typical state, about half of Medicaid funds are spent through managed care. Medicaid managed care contracts are among the largest state spending...
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