Health Affairs August 30, 2018
Katherine Hempstead, Joanna Seirup

During last year’s rate filing season, good news was in short supply. As many carriers rushed to the exits, one category, relatively speaking, stood its ground: Medicaid managed care organizations (MCOs), insurance companies that sell Medicaid and do not sell group coverage. Some entered new states to fill holes created by departures, while others expanded their footprints in states where they already had a presence.

Most Medicaid MCOs are local and not for profit. Only three—Centene Corporation, CareSource, and Molina Healthcare—sell in more than one state, and only Centene and Molina are for profit and publicly traded. Along with the few remaining co-ops and a very small number of new companies such as Oscar Health and Bright Health, Medicaid...

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Topics: ACA (Affordable Care Act), Govt Agencies, Insurance, Medicaid, Payer, Public Exchange
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