MM Curator summary
[MM Curator Summary]: There was very little movement in the year over year market share race amongst the MCOs.
The article below has been highlighted and summarized by our research team. It is provided here for member convenience as part of our Curator service.
July 18, 2022
On July 15, 2022, Health and Human Services (HHS) Secretary Xavier Becerra, once again, renewed the determination that we are in a national public health emergency (PHE) through October 13, 2022. 1 Until the PHE is lifted Medicaid redeterminations2 continue to remain on hold and Medicaid enrollment will continue to increase. Medicaid enrollment through the first quarter of 2022 (1Q22) has reached close to 86 million, up 4 million enrollees from 1Q21.
Medicaid membership − available through the National Association of Insurance Commissioners (NAIC) and California Department of Managed Health Care (CA DMHC) statutory sources; and State managed and non-managed Medicaid program reports; and aggregated in Mark Farrah Associates’ Health Coverage Portal TM − now stands at 85,970,046, or 25.8% of the 332.78 million people in the U.S., as of March 2022. Using MFA’s Health Coverage Portal™ you can obtain the enrollment source breakdown as represented in the following table, as well as state specific enrollment by carrier.
The trend toward states adopting managed Medicaid programs continued between 1Q21 and 1Q22. One of the largest shifts noted during this period was in the state of North Carolina (NC), which converted to a managed Medicaid program. Approximately 1.6 million beneficiaries began receiving Medicaid services through NC Managed Care health plans starting July 1st, 2021.
Market Share
The table below shows that the top 10 companies in March of 2022 all increased Medicaid enrollment from the same period in 2021. Centene remained the leader with a 16.5% market share, which is a decrease of 0.4% from 1Q21. Seven of the top 10 companies based on enrollment experienced gains in market share during the period. Anthem realized the largest gain in Medicaid enrollees from March 2021 to March 2022 gaining almost 1.5 million giving them a 10.4% market share.
Note 1: “Renewal of Determination that a Public Health Emergency Exists” https://aspr.hhs.gov/legal/PHE/Pages/covid19-15jul2022.aspx.
Note 2: Medicaid redetermination is the process states use to determines if enrollees in the program are still eligible for benefits.
About Mark Farrah Associates (MFA)
Mark Farrah Associates (MFA) is a leading data aggregator and publisher providing health plan market data and analysis tools for the healthcare industry. Our product portfolio includes Health Coverage Portal™, County Health Coverage™, Medicare Business Online™, Medicare Benefits Analyzer™, 5500 Employer Health PLUS, and Health Plans USA™. For more information about these products, refer to the informational videos and brochures available under the Our Products section of the website or call 724-338-4100.
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Clipped from: https://www.markfarrah.com/mfa-briefs/mark-farrah-associates-noted-more-than-one-quarter-of-us-population-on-medicaid/