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 first quarter 2026 financial and enrollment data. These companies collectively serve a majority of Medicaid managed care enrollees nationwide. Their quarterly results typically reveal trends in redetermination impacts, rate adequacy, medical loss ratios, and profitability that signal broader market conditions. State Medicaid directors and MCO executives monitor these earnings reports to benchmark performance, assess competitive positioning, and anticipate contract strategy shifts.

Managed Care · Finance