Finding The New Market Space

Over the course of the past three years, the expansion of the health plan footprint in the field has increased. Health plans manage 95% of commercial/employer members, 90% of Medicaid members, and 50% of Medicare members (see Managed Care Plans Cover 90% Of Medicaid Beneficiaries and Medicare Advantage in 2022: Enrollment Update and Key Trends). And enrollment in health plans on the health insurance exchanges now tops 8 million (see 2021 Federal Health Insurance Exchange Weekly Enrollment Snapshot: Final Snapshot).

But health plan influence isn't limited to medical and behavioral benefits. Now 24 states have moved to managed . . .