Topic Medicaid

Reports

Against the odds: How payors can succeed under persistent uncertainty

The US health insurance industry continues to be defined by uncertainty. The 25 articles in this compendium can help health insurers navigate the changes ahead.

Articles

Looking ahead in Medicaid: Options for states and the implications for payors and providers

This paper explores opportunities states could consider to improve their Medicaid programs, both to control spending and improve the program's performance.

Multimedia

What can states do to change key parameters of Medicaid?

In part I of this February 2017 conversation, Erica Coe and Stephanie Carlton of the McKinsey Center for US Health System Reform discuss this question with Thomas Barker, former General Counsel at the Department of Health and Human Services and the Centers for Medicare & Medicaid Services, and Ken Choe, a former Deputy General Counsel and Counselor to the Office of Health Reform at HHS. Mr. Barker is now a partner and co-chair of the Healthcare Practice at Foley Hoag. Mr. Choe is now a partner at Hogan Lovells.

Articles

Next-generation contracting: Managed Medicaid for individuals with special or supportive care needs

This new framework can help states improve their ability to design and contract for managed Medicaid programs for these individuals—and maximize the programs’ likelihood of success.

Articles

Navigating the uncertainty of potential ACA ‘repeal and replace’: A preliminary analysis

The findings in this Intelligence Brief provide an introductory perspective on how the next US administration and Congressional Republicans may approach altering the ACA and related legislation. The information is based on publicly reported information released through December 8, 2016. Our Reform Center team is continuing to refresh this perspective on a real-time basis and is closely analyzing potential implications and economic impacts for each policy element under a full range of scenarios.

Articles

Improving care delivery to individuals with special or supportive care needs

What states, private payors, providers, and technology companies are doing to control costs and improve outcomes for individuals with behavioral health conditions or in need of long-term services and support, including those with intellectual or developmental needs.

Articles

Transitions in coverage type are the norm for most consumers over time

New McKinsey research shows that changes in health insurance type are a common event for most Americans.

Multimedia

The granularity of managed Medicaid growth

What’s the path to growth for MCOs?

Reports

Medicaid & CHIP enrollment update

Observations based on analysis of Medicaid/CHIP enrollment estimates through December 2014.

Multimedia

One-on-one with Tom Betlach: Medicaid Sustainability

Eliminate fragmentation in the Medicaid delivery system, and you free up funds for other state spending priorities.

Multimedia

Reform Center video series: Medicaid

From 2012 to 2019, Medicaid enrollment is projected to grow by 9-15M lives (16-26%), and by the end of the period managed Medicaid is expected to cover ~80% of enrollees.

Articles

Understanding and engaging a new era of Medicaid consumers

A new McKinsey survey offers payors, providers, and state governments a way to understand key differences among Medicaid consumers— differences that have important implications for how to engage current and potential enrollees effectively.

Articles

The impact of expanded coverage on hospital utilization

For most health systems, the one-time impact of expanded insurance coverage on utilization will be small but significant. Systems that can capture a substantial share of the increase in utilization may gain a competitive advantage.