For 50 years, Medicaid has helped ensure that millions of Americans who need it have access to health care for preventive, primary and specialty services.
Children, pregnant women, parents, seniors, individuals with disabilities and low-wage earners all may qualify for Medicaid subject to state requirements under federal standards. As a result, the most vulnerable Americans get a hand up to a healthier life.
Nearly three-quarters of the people covered by Medicaid receive health care provided by managed care organizations (MCOs). Our association, Medicaid Health Plans of America (MHPA), is the leading national trade association focused solely on the universe of Medicaid health plans. MHPA works on behalf of 93 commercial and nonprofit plans that serve more than 25 million Medicaid enrollees in 39 states. MHPA provides advocacy and research that support policy solutions to enhance the delivery of quality care for Medicaid enrollees through improved access and cost-effective services.
Medicaid & MHPA by Numbers
- 75 million Americans rely on Medicaid to gain access to quality healthcare. (PwC Report)
- MHPA represents 93 plans that serve Medicaid enrollees.
- MHPA members serve nearly 25 million Medicaid enrollees, nearly half of the lives covered in MCOs.
- MHPA members cover 39 states (including DC).
- 74 percent of Medicaid enrollees are in MCOs. (PwC Report)
- MHPA members represent for-profit, non-profit, multi-state and BCBS-affiliate health plans
Over the course of two generations, managed care has evolved to become a model for care in the United States. Medicaid health plans have pioneered systems, protocols and treatments to provide quality care, produce robust outcomes and deliver budget predictability on a large scale — consistent with our members’ values and mission-driven approach to care.
The Affordable Care Act of 2010 provided the ability for states to expand Medicaid to serve more Americans who need it. Today, 41 states utilize some form of managed care to deliver on the promise of Medicaid.
Though most Medicaid beneficiaries are served by managed care organizations, the majority of Medicaid spending continues to be on fee-for-service plans. Clearly, the MCO model for health services delivery makes economic sense.
At the end of the day, the best case for Medicaid managed care plans can be seen in the faces of the patients who count on us for care, and in the outcomes of the care we deliver.
Medicaid Health Plans of America
People Who Count on Medicaid Count on Us℠