We’ve covered the expansion of Medicaid and the increase in Medicaid enrollment. There are now 89 million Americans on the Medicaid rolls (see Medicaid Enrollment Data: How Many People Are Signed Up?), with 40 states (including D.C.) having expanded Medicaid under the PPACA. And 85% of those Medicaid members are now enrolled in some type of managed care plan (see About 85% Of Medicaid Beneficiaries Enrolled In Managed Care).

And Medicaid spending (both state and federal) is now at $728 billion (see Medicaid Enrollment & Spending Growth: FY 2022 & 2023). Medicaid is now the second-largest portion . . .

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