April 22, 2019
Source: Health Coverage Portal TM, Mark Farrah Associates, presenting data from the National
Association of Insurance Commissioners (NAIC) and the California Department of
Managed Health Care (CA DMHC).
·
Centene lead the managed Medicaid market with over 6.0 million
members in 4Q17 and 4Q18. In March 2019, Centene announced a proposal to
acquire WellCare for over $15 billion. If approved, it would create a
leading health care giant specializing in government-sponsored programs and ACA
state insurance marketplaces. The acquisition is expected to close in June of
2020.
·
Anthem was one of only two plans in the top five to experience
growth by nearly 259,000 members from approximately 5.1 million members in 4Q17
to nearly 5.4 million enrolled in 4Q18.
·
UnitedHealth experienced the largest actual YOY loss in
membership by 174,000 members, with 4Q18 enrollment figures at 5.2 million
according to the NAIC.
·
Molina’s 2018 year-end enrollment stood at 3.2 million, a decreased
of 4.8% from 4Q17.
·
WellCare, the only other health plan in the top 5 to experience
growth, increased managed Medicaid by 1.3% to end 2018 with 2.3 million
members.
Please note: There are
reporting differences in Medicaid membership between the NAIC and SEC due to
segment definitions, state laws and other causes. This analysis is focused on
the managed Medicaid market as reported to the NAIC. SEC 10K Medicaid
membership for Centene was 8.4 million, Anthem reported 6.7 million,
UnitedHealth reported approximately 6.5 million, Molina was nearly 3.4 million,
and WellCare stood at 3.9 million.
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