Medicaid risk-based managed care: Analysis of financial results for 2016

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By Jeremy D. Palmer, Christopher T. Pettit | 07 July 2017
This report summarizes the calendar year 2016 experience for selected financial metrics of organizations reporting Medicaid experience under the Title XIX Medicaid line of business on the National Association of Insurance Commissioners annual statement. The primary purpose of this report is to provide reference and benchmarking information for certain key financial metrics used in the day-to-day analysis of Medicaid managed care organization (MCO) financial performance. This report explores the differences among various types of MCOs using available segmentation attributes defined from the reported financial statements.