What are the top Medicaid companies?

Asked by: Darryl Toy  |  Last update: December 1, 2025
Score: 4.4/5 (45 votes)

Medicaid enrollment in the five largest publicly traded companies operating Medicaid MCOs. Five for-profit, publicly traded companies – Centene, Elevance (formerly Anthem), UnitedHealth Group, Molina and CVS Health – account for 50% of Medicaid MCO enrollment nationally (Figure 1).

Who is the biggest Medicaid provider?

Today, Centene is the largest Medicaid managed care organization in the nation serving 13.1 million members, and a leader in California, Florida, New York, and Texas, four of the largest Medicaid states.

What's the best Medicaid in Michigan?

Reasons to choose Priority Health

We are one of the top-rated Medicaid plans in Michigan, with a rating of 4 out of 5 in NCQA's Medicaid Health Insurance Plan Ratings 2023-2024.

What are the 5 Louisiana Medicaid plans?

The plans are the following:
  • Aetna.
  • Amerigroup Louisiana.
  • Amerihealth Caritas.
  • Louisiana Healthcare Connections.
  • United Healthcare Community Plan.

What is the largest Medicaid program?

Top 10 States for Medicaid Spending

This is no surprise, as California has the largest Medicaid program in the nation, Medi-Cal.

What's the best Medicaid plan?

33 related questions found

What are the four types of Medicaid?

There are four types of Medicaid delivery systems:
  • State-operated fee-for-service (FFS)
  • Primary care case management (PCCM)
  • Comprehensive risk-based managed care (MCO model)
  • Limited-benefit plans.

What state has the best Medicaid?

25 States With the Best Medicaid Benefits
  1. Massachusetts. In Massachusetts, you have the advantage of an extensive health insurance program called MassHealth. ...
  2. New York. ...
  3. Vermont. ...
  4. Rhode Island. ...
  5. 5. California. ...
  6. Connecticut. ...
  7. Pennsylvania. ...
  8. Washington.

What is Louisiana Medicaid called?

What is Healthy Louisiana? Healthy Louisiana is the way most of Louisiana's Medicaid recipients receive health care services. As soon as you or family members are eligible for Medicaid, you need to choose a Healthy Louisiana Health Plan to manage your or your family member's health care.

What is the largest Medicaid managed care plan?

Medicaid enrollment in the five largest publicly traded companies operating Medicaid MCOs. Five for-profit, publicly traded companies – Centene, Elevance (formerly Anthem), UnitedHealth Group, Molina and CVS Health – account for 50% of Medicaid MCO enrollment nationally (Figure 1).

What does Medicaid not cover?

Though Medicaid covers a wide range of services, there are limitations on certain types of care, such as infertility treatments, elective abortions, and some types of alternative medicine. For example, the federal government lists family planning as a mandatory service benefit, but states interpret this differently.

Who uses Medicaid the most?

In 2020, Medicaid and CHIP provided coverage for nearly 55 million people of color. These programs provide essential coverage for a population that is more diverse than the broader U.S. population—especially among children, with 61 percent of Medicaid and CHIP enrollees under age 19 being children of color.

What is straight Medicaid in Michigan called?

Medicaid (also called Medical Assistance, or MA) is health insurance for people with low income. In Michigan, there is traditional Medicaid (TM) and the Healthy Michigan Plan (HMP). HMP started in 2014 as part of the Affordable Care Act. Once you are enrolled, TM and HMP work just like other health insurance.

Which health insurance denies the most claims?

According to the analysis, AvMed and UnitedHealthcare tied for the highest denial rate, with both companies denying about a third of in-network claims for plans sold on the Marketplace in 2023, respectively.

Who leads Medicaid?

Chiquita Brooks-LaSure is the Administrator for the Centers for Medicare and Medicaid Services (CMS), where she oversees programs including Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and the Affordable Care Act (ACA) health insurance Marketplaces.

What are the top five medical insurance companies?

Here is a ranking of the largest health insurance companies by market share:
  • Centene, BS of California, BCBS of Michigan, BCBS of Florida — 2% ...
  • Kaiser Permanente — 7% ...
  • Health Care Service Corporation (HCSC) — 7% ...
  • Cigna — 11% ...
  • CVS Health (Aetna) — 12% ...
  • Elevance Health — 12% ...
  • UnitedHealth Group – 15%

Who is the largest payer of Medicaid?

Medicaid is the largest single payer of maternity care in the U.S., covering more than 40% of U.S. births and playing a critical role in ensuring healthy moms and babies. Medicaid accounts for 75% of public family planning dollars, every $1 of which saves Medicaid $7.09.

What is United Healthcare Medicaid?

Medicaid provides health insurance for some low-income people, children, pregnant women, the elderly and people with disabilities. In some states, Medicaid covers all low-income adults below a certain income level. Find Plans Find Plans.

What is the largest Medicare Advantage company?

Why we picked it: A large network of medical providers means it may be easier to find a doctor or specialist who takes your insurance.
  • UnitedHealthcare is the largest provider of Medicare Advantage plans. ...
  • Aetna is a CVS Health company and is the fourth-largest provider of Medicare Advantage plans.

Who runs Louisiana Medicaid?

The Louisiana Medicaid Program operates within the Louisiana Department of Health.

What are the 5 Louisiana Medicaid plans for adults?

Louisiana Medicaid has a new health plan beginning January 1, 2023. This includes the current five health plans – Aetna Better Health, AmeriHealth Caritas, Healthy Blue Louisiana, Louisiana Healthcare Connections, and UnitedHealthcare, plus a sixth health plan, Humana Healthy Horizons.

Who is the largest Medicaid provider in the US?

Five For-Profit, Publicly Traded Companies Have Half of the Medicaid MCO Market.
  • Centene* 22%
  • Anthem* 11%
  • UnitedHealth Group. 9%
  • Molina. 5%
  • Aetna/CVS. 3%
  • 9 Other Multi-State Parent Firms. 12%
  • 133. Local / Regional. MCOs. 38%

What are the hardest states to qualify for Medicaid?

The 10 most deficient state programs have overall scores ranging from between 317.8 and 379.1 of the total 1000 points. The worst, in order from 50th to 41st, are in Mississippi, Idaho, Texas, Oklahoma, South Dakota, Indiana, South Carolina, Colorado, Alabama, and Missouri.

What state is #1 in healthcare?

Hawaii, Massachusetts, Minnesota, Iowa, and Connecticut are the top-ranked states according to the 2020 Scorecard, which assesses all 50 states and the District of Columbia on more than 45 measures of access to health care, quality of care, service use and costs of care, health outcomes, and income-based health care ...