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At least 25,198,000 Medicaid members have been disenrolled as of September 12, 2024, based on the most current data from all 50 states and the District of Columbia. Overall, 31% of people with a completed renewal were disenrolled in reporting states, while 69%, or 56.4 million enrollees, had their coverage renewed. However, these numbers could undercount the disenrollments due to the lag time in states' reporting data (see Medicaid Enrollment and Unwinding Tracker).

There is wide variation in disenrollment rates across reporting states, ranging from 57% in Montana to 12% in North Carolina. Various factors contribute to . . .

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Managed Care & Value-Based Reimbursement

The impending shift to value-based reimbursement (VBR) and managed care in the health and human services industry has become a driving force across both public and private sector organizations, not only forcing new operating models and systems, but pushing providers to develop new partnerships with payers and to prepare for population health management. This shift presents organizational, technical, and cultural challenges that require a robust technology infrastructure, data-driven decisionmaking, and new leadership competencies. As behavioral health provider organizations move towards risk-based contracts, those who adapt to this change will have a better opportunity to carry forward in the provision of value-based services.

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Arizona Medicaid Contract For Elderly/Disabled Members Changed After Protest
On May 2, 2025, the Arizona Health Care Cost Containment System (AHCCCS) announced it had entered a settlement agreement and awarded four contracts for the Arizona Long Term Care System-Elderly and/or Physically Disabled (ALTCS-EPD) program. The settlement agreement resolves a procurement protest. The awardees are Arizona Physicians IPA, Inc. (dba UnitedHealthcare Community Plan); Banner-University Care Advantage (dba Banner-University Family Care); Mercy Care, and Bridgeway Health Solutions of Arizona, Inc. (dba Arizona Complete Health-Long Term Care).… Read

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