Medicaid Managed Care Penetration At 70% Nationally; 0% To 100% At The State Level: New OPEN MINDS Analysis, 2011 & 2018

Gettysburg, Pa, Feb. 11, 2020 (GLOBE NEWSWIRE) -- A new report by OPEN MINDSU.S. Population Enrolled In Managed Care, 2011-2018: An OPEN MINDS Reference Guide, found that 70% of the Medicaid population was enrolled in managed care in 2018. Three states (Hawaii, Nebraska, and Tennessee) have 100% of their insured populations in Medicaid managed care, while there are 10 states (Alabama, Arkansas, Connecticut, Maine, Montana, North Carolina, Oklahoma, South Dakota, Vermont, and Wyoming) with no consumers in Medicaid managed care.

This report provides an overview of the insured population enrolled in managed care plans between 2011 and 2018; the populations examined in the report include those with health insurance through commercial health plans, Medicare, Medicaid, and TRICARE. The report also covers state characteristics of managed care coverage between 2016 and 2018, as well as the proportion of managed care enrollees by payer and state.

“Over the next decade, as more beneficiaries begin to age, and more begin to have some type of chronic condition, it is likely that the population of Medicare beneficiaries enrolled in managed care will increase” said OPEN MINDS Executive Vice President Corinne Kuypers-Denlinger. “Across the board, the main goal is to achieve the triple aim: Better population health management, improved consumer outcomes, and lower costs. As a result, tracking managed care enrollment at the state and national level will continue to be at the forefront the industry.”

A free summary analysis of the report can be found at: Health Plan Marketing Strategy – Reading The State-Specific Market Landscape. The report, U.S. Population Enrolled In Managed Care, 2011-2018: An OPEN MINDS Reference Guide, is available at no charge to Premium and Elite members of The OPEN MINDS Circle and can be purchased in the OPEN MINDS shop for $295.


OPEN MINDS is an award-winning information source, executive education provider, and business solutions firm specializing in the domains of health and human services serving consumers with chronic conditions and complex support needs. For thirty years, we’ve been pioneers for change – helping organizations implement the transformational business practices they need to succeed in an evolving market with new reimbursement, competition, policies, and regulations.

OPEN MINDS is powered by a national team of experienced executives and subject matter experts with specific expertise and experience in nine key market areas – mental health, addictions, chronic conditions, autism and intellectual/developmental disabilities, long-term care, children’s services, social services, juvenile justice, and corrections health care. Our mission is to improve the quality of care for consumers with complex support needs by improving the effectiveness of those serving them – provider organizations, payer and insurance organizations, government agencies, pharmaceutical organizations, and technology firms. Learn more at