Research & Reports
MHPA’s research demonstrates the state and value of Medicaid managed care to help inform policy, deepen understanding of performance, and drive quality.
October 2023 -
On the Ground Enrollment: Results from a National Survey of Medicaid MCO Experiences During Redetermination
As states began redetermining Medicaid eligibility this spring and summer - the first time in three years - following the end of Medicaid’s continuous enrollment provision, new research by Medicaid Health Plans of America (MHPA) details the strategic engagement tactics deployed by Medicaid managed care organizations (MCOs) to ensure those eligible for Medicaid maintained access to quality, affordable health care and limit disruptions caused by coverage loss. The research also identifies priority policy or process changes that would enable more effective support of Medicaid members.
April 2023 -
A Snapshot of Medicaid with Managed Care
Medicaid managed care organizations (MCOs) partner with states to improve access to primary, preventive, and specialty services for the nation’s most vulnerable populations. The managed care model provides flexibility to address the local, diverse, and complex needs of Medicaid enrollees and improve health outcomes. At the same time, Medicaid MCOs must adhere to federal requirements pertaining to administrative costs and profits. This infographic provides a general overview of Medicaid managed care as of April 2023, prior to when the renewals process resumed following the end of the COVID-19 public health emergency and Medicaid’s continuous enrollment provision.