The majority of Medicaid state agencies use managed care to deliver services in their Medicaid programs. Managed care dates back to Medicaid’s inception, and its use has significantly expanded. Today, nearly every state uses some form of managed care, including comprehensive risk-based managed care, primary care case management, or limited-benefit plans. This report summarizes the CY 2020 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 interactive tool below allows users to dynamically review MCO financial results based on the methodology outlined in the report.
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Medicaid managed care financial results for 2020
We review various key metrics, such as the composite underwriting ratio increasing to 3% in 2020 due to COVID-19, versus less than 1% in other years.
Jeremy Palmer, Christopher Pettit, Ian McCulla, Cameron Kinnick