The Changing Medicaid Market – Designing Strategies For Sustainability

When discussing health care strategy, priorities are often determined by market size. Medicaid is a big and growing market – spending is now $575.9 billion, covering more than 72 million consumers, and representing 22% of the U.S. population (see 2016 Actuarial Report On The Financial Outlook For Medicaid).

Not only is Medicaid a large market, it is also a disproportionately large source of funding for consumers with complex conditions. There are 4.8 million consumers with serious mental illness enrolled in Medicaid, representing 6% of the Medicaid population and 33% of the population with a serious mental illness. An . . .