Big Five Medicaid Insurers Report Q1 2026 Financial and Enrollment Results
The five largest publicly-traded Medicaid managed care organizations—UnitedHealth Group, Elevance, CVS Health/Aetna, Centene, and Molina—have released their first quarter 2026 financial and enrollment data. These health plans collectively serve the majority of Medicaid managed care enrollees nationwide. The quarterly results provide insight into enrollment trends, medical loss ratios, and profitability across the Medicaid managed care market following the completion of Medicaid redeterminations in most states. The report covers performance metrics that signal market conditions for Medicaid MCOs heading into mid-2026.
Quarterly financial performance from the dominant Medicaid MCOs signals market-wide trends in enrollment stabilization, medical cost trends, and profitability that inform state contract negotiations, capitation rate adequacy discussions, and competitive dynamics.
Managed Care · Finance
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