McKinsey November 1, 2021
Meera Mani, Carlos Pardo Martin, and Sean Zhao

Medicaid continues to evolve rapidly, driven by the COVID-19 pandemic and program and policy shifts.

In 2020, the COVID-19 pandemic created substantial shifts across the US healthcare ecosystem. Medicaid was no exception. As Medicaid enrollment grew rapidly, communities with high socioeconomic need also suffered disproportionate impact from the pandemic1

Medicaid faces some unique factors that further expand near-term uncertainty. These include changes in member mix resulting from economic recovery and reduced unemployment, federal and state policies that change with the end of the public health emergency, patterns of care use, and the health impact of the pandemic itself within this highly heterogenous segment of...

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