Centene Maintains Leadership in Managed Medicaid Segment as Pandemic Protections Begin to Unwind


April 19, 2023



  • As pandemic protections begin to unwind, Centene leads the Managed Medicaid market with over 14.8 million members in 4Q22, growing by over one million compared to 4Q21.
  • Elevance expanded its Medicaid membership by 11%, just under one million members, from 2021 to 2022.
  • UnitedHealth experienced the smallest year-over-year growth in membership of the top five carriers, adding only 255,000 (4.1%), with total 4Q22 Medicaid enrollment figures at 6.5 million, based on NAIC filings.
  • Molina’s 2022 year-end enrollment stood at 4.5 million, an increase of nearly 10% from 4Q21.
  • Independence Blue Cross saw the largest percentage increase of the top five, 11.6%, growing by over 270,000 members.

About the Data

The data used in this brief was obtained from Mark Farrah Associates' Health Coverage Portal™ database, including information from the National Association of Insurance Commissioners (NAIC) and the California Department of Managed Health Care (CA DMHC). Please note: There are differences in reported Medicaid membership between the NAIC and U.S. Securities and Exchange Commission (SEC) filings due to segment definitions, state laws, and other causes. This analysis is focused on the Managed Medicaid market as reported to the NAIC. In 2022 annual SEC 10K reports, Medicaid membership for Centene was 16 million, Elevance reported 11.6 million, UnitedHealth reported approximately 8.2 million, and Molina mentioned nearly 4.8 million. Independence Blue Cross does not file with the SEC.

About Mark Farrah Associates (MFA)

Mark Farrah Associates (MFA) is a leading data aggregator and publisher providing health plan market data and analysis tools for the healthcare industry. Our product portfolio includes Health Coverage Portal™, County Health Coverage™, 5500 Employer Health plus, Medicare Business Online™, Medicare Benefits Analyzer™, and Health Plans USA™. For more information about these products, refer to the informational videos and brochures available under the Our Products section of the website or call 724-338-4100.

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