Nevada plans to award new Medicaid managed care contracts to UnitedHealth, Centene, Elevance, Molina, and CareSource, expanding managed care to cover almost everyone in the state by January 1, 2026. This move is expected to add about 75,000 individuals to the coverage. UnitedHealth currently holds the largest share of managed care enrollment in the state, followed by Elevance, Centene, and Molina. The state originally planned to award four contracts, but has since changed its plans to award five contracts to the mentioned payers.
The Medicaid funding outlook is unclear, as Republicans in Congress are considering spending cuts to the program. Potential strategies include rolling back federal funding for the Medicaid expansion population, which could result in states like Nevada losing millions of dollars in revenue and potentially kicking hundreds of thousands of people off Medicaid.
Before Medicaid expansion, Nevada had one of the highest uninsured rates in the nation. The awarded contracts will bring changes to the managed care makeup in the state, with UnitedHealth losing a populous county and CareSource entering Nevada for the first time.
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