In Most States With Comprehensive MCOs, at Least 75% of Beneficiaries Are Enrolled in One.

NOTE: ID’s Medicaid-Medicare Coordinated Plan has been recategorized by CMS as an MCO but is not counted here as such since it is secondary to Medicare. DC is included in the count of states with 50 - 75% of Medicaid beneficiaries in MCOs. MA’s share of Medicaid beneficiaries enrolled in comprehensive MCOs includes individuals enrolled in comprehensive managed care plans and in “Partnership” Accountable Care Organizations (ACOs) (known as ACO Model A), which are fully capitated and linked to a health plan. Primary Care ACOs (referred to as ACO Model B) are not included as they are not capitated. SOURCE: KFF analysis of Medicaid Managed Care Enrollment Reports, Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services, 2021.
KFF.org (grey border)