Watch Out For Elephants

“When elephants fight, it’s the grass that suffers”

As we completed our recent analysis of the largest Medicaid insurers, it brought to mind the proverb; “when elephants fight, it’s the grass that suffers.” Why? The top-five Medicaid insurers are increasing their market share and are likely to continue to increase that market share. And on top of that, we are seeing non-traditional mergers and acquisitions, which are likely to have a profound effect on how health care is delivered.

First, who are the top-five largest Medicaid insurers? Centene, UnitedHealthcare, Anthem, WellCare, and Molina Healthcare (in . . .