Medicaid Enrollment Increased 25% From 2014-2015

Milliman recently released a financial analysis of Medicaid risk-based managed care organizations in 2015. Here are some key findings from the report:

·         39 states use a risk-based managed care model for Medicaid beneficiaries.

·         The growth in Medicaid enrollment from 2011-2015 was 70% and revenue increased by 130%.

·         85.4% was the average medical loss ratio for MCOs with over $144 billion Medicaid revenue in 2015.

·         The UW ratio in 2015 represents an underwriting gain of $3.7 billion in relation to $144.1 billion revenue.

·         Revenue growth from 2014-2015 was over 30% with an increase of over 25% in enrollment.

·         8 states reported an underwriting loss for 2015, versus 10 states in 2014.

Source: Milliman, June 7, 2016