Medicaid risk-based managed care: Analysis of administrative costs for 2015

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By Christopher T. Pettit, Ian M. McCulla, Jeremy D. Palmer | 20 June 2016

This report summarizes the calendar year 2015 experience for selected financial metrics of organizations reporting Medicaid experience under the Title XIX Medicaid line of business on the National Association of Insurance Commissioners annual statement. The primary purpose of this report is to provide reference and benchmarking information for certain key administrative expense categories used in the day-to-day analysis of Medicaid managed care organizations (MCOs) financial performance. This report also explores the differences among various types of MCOs using available segmentation attributes defined from the reported financial statements.