The Medicaid Managed Care Shift

There are now 89 million Americans (35% of the adult population) on the Medicaid rolls. Of these, 85% are enrolled in some type of managed care plan (see About 85% Of Medicaid Beneficiaries Enrolled In Managed Care).

Individual state Medicaid policies—and what organization manages their Medicaid benefits—shape much of the health care delivery system in that state for every consumer. Provider delivery system models, available service lines, prescription drug formularies, and more are heavily influenced by Medicaid benefits and care managers. Just in the past few weeks, there have been significant changes in Medicaid policy that will have . . .