New entrants into Medicaid like Aetna, UnitedHealth Group and WellPoint will contend with Medicaid managed care organizations like Amerigroup, WellCare and Molina Healthcare.
While Medicaid is seen as a money-losing proposition, the new patients might be more profitable because many of them will be childless adults. Also, mainstream insurers need enrollees to make up for losses in employer-sponsored enrollees, and Medicaid is better than nothing.
Plans, will however, walk away from state Medicaid programs if they are not making money. For example, WellPoint left the Ohio and Nevada Medicaid programs in 2008, saying payments were not actuarially sound.
Read the American Medical News report on Medicaid.
Read more coverage on Medicaid:
– Texas Governor Backs Away From Plans to Exit Medicaid, Following State Report
– New GOP Governors Want More Control of Medicaid from Congress
– CMS Proposes to Let States Implement Medicaid RACs in April
At Becker's 4th Annual CEO + CFO Roundtable, taking place November 2–5 in Chicago, more than 1,500 hospital and health system executives tackle decisions that determine whether organizations thrive or merely survive: protecting margins under cost pressure, choosing where to grow, renegotiating payer relationships, stabilizing the workforce and proving real ROI on technology. This is where leaders work through them together, face-to-face. Apply for complimentary registration now.