THE BIGGEST PRIVATE PLAYERS IN MEDICAID MANAGED CARE

Five companies dominate Medicaid managed-care organization enrollment share and the share of new enrollments. Now there are concerns these insurers will gain more share under a new Democratic proposal.
The chart below is interactive: click or touch to see more.

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PORTION OF MEDICAID MANAGED-CARE ORGANIZATION MARKET

Five firms had more than 47% of the enrollment in 39 managed-care organization states as of July 2018, according to a 2020 analysis by Kaiser Family Foundation.

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SHARE OF NEW MANAGED-CARE ORGANIZATION ENROLLMENTS

Those same five firms accounted for almost 60% of new enrollments in 28 states from March 2020 to March 2021.

Notes

* Includes WellCare, which was aquired by Centene in 2020
** Includes Aetna which was aquired by CVS in 2018

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NON-EXPANSION STATES

Number of MCO plans and enrollment in the states that have not expanded Medcaid under the ACA, as of March 2021.

State	Plans	Enrollment
Alabama	NA
Florida	15 Plans	3,677,298
Georgia	4 Plans	1,696,673
Kansas	3 Plans	440,681
Mississippi	3 Plans	485,435
North Carolina	NA
South Carolina	5 Plans	934,517
South Dakota	NA
Tennessee	4 Plans	1,558,446
Texas	19 Plans	4,504,285
Wisconsin	15 Plans	995,094
Wyoming	NA