Molina Healthcare’s Experience in Coordinating Care for Dual-Eligibles Places It in a Prime Position as States Struggle to

However, Its Lack of Commercial Products May be a Disadvantage After 2014, According to the Recent National MCO Analyzer: Molina Healthcare from HealthLeaders-InterStudy

NASHVILLE, Tenn.--(BUSINESS WIRE)-- HealthLeaders-InterStudy, a leading provider of managed care market intelligence, reports that Molina Healthcare, the country’s fourth-largest Medicaid managed care organization, will continue to experience strong growth even before the 2014 Medicaid expansion as a result of healthcare reform. According to the National MCO Analyzer: Molina Healthcare, its experience in coordinating care for dual-eligibles gives it a rare combination of competencies that position the insurer to grow steadily as healthcare reform moves forward.

Medicaid enrollment growth is the leading cost-driver in most states’ budgets, and states are expanding their use of Medicaid MCOs to help control costs. However, after 2014, much of the adult Medicaid population will shift in and out of Medicaid as their income fluctuates. Molina Healthcare’s lack of commercial products may make it difficult for them to participate in some states.

“Medicaid is a difficult basket to have all one’s eggs in, but it’s also the fastest-growing segment of the healthcare business,” said HealthLeaders-InterStudy Principal Analyst Paula Wade. “States are being pressured by record deficits and with the expiration of the federal stimulus funds in June 2011, states may have no choice but to further cut Medicaid programs and benefits. Molina is vulnerable in this aspect.”

About National MCO Analyzer

National MCO Analyzer is the account manager’s tool for in-depth analysis of national MCO corporate strategies, opportunities and challenges. Profiling the country’s 14 largest managed care organizations, each report includes:

  • Market analysis from HealthLeaders-InterStudy’s managed care market experts, along with an overview of opportunities and challenges for a plan in the year ahead.
  • Competitive analysis outlining a managed care organization’s strengths, challenges and opportunities.
  • Plan dashboard providing national-level enrollment mix and trends.

About HealthLeaders-InterStudy

HealthLeaders-InterStudy, a Decision Resources, Inc. company, is the authoritative source for managed care data, analysis and news. For more information, please visit www.HL-ISY.com.

About Decision Resources, Inc.

Decision Resources, Inc. is a cohesive portfolio of companies that offers best-in-class, high-value information and insights on important sectors of the healthcare industry. Clients rely on this analysis and data to make informed decisions. Please visit Decision Resources, Inc. at www.DecisionResourcesInc.com.

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CONTACT:

HealthLeaders-InterStudy
Erin O’Leary, 781-993-2641
[email protected]
or
Decision Resources, Inc.
Elizabeth Marshall, 781-993-2563
[email protected]

KEYWORDS:   United States  North America  Tennessee

INDUSTRY KEYWORDS:   Practice Management  Health  Other Health  Professional Services  Insurance  Nursing  General Health  Managed Care

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