April 10, 2010 Despite all their protests to the contrary, health insurance companies and managed care organizations are the big winners in health care reform. Despite new mandates, elimination of pre-existing condition clauses, and mandated loss ratios, there will be more consumers for commercial health insurance options. The biggest winners will be the managed care segment within Medicaid and Medicare. The Medicaid managed care segment will see the most immediate increase driven by two factors. First is the obvious - states are struggling financially right now and Medicaid managed care is one way to balance the books. The second is…