Despite being the nation's largest health insurer, Medicaid remains largely overlooked by investors and entrepreneurs. Learn more about the myriad opportunities for innovation within this market.
Medicaid covers one out of every five Americans and accounts for more than $550 billion in federal and state spending annually. To date, however, investors and entrepreneurs have largely ignored this market, focusing instead on developing solutions for private and commercial customers.
Although the federal rules and funding for Medicaid may change, the larger trends driving its payers and providers to innovate will persist. In particular, the demand for emerging technologies that increase access and improve value will remain high. This is especially true in California, which has deeply committed to expanding coverage and widely embraced the shift to managed care.
We have compiled the following resources to bridge the gap between safety-net stakeholders, who best know the needs of the Medicaid market, and innovators, who can offer scalable solutions that have impact:
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Each of these resources, as well as a PowerPoint version of the 6 Reasons handout and a printable version of Innovation at Work in Medicaid, is available under Document Downloads.
As new opportunities and trends within the Medicaid market emerge, we intend to build upon this collection of resources. We welcome your ideas and observations.
- "Managed Care," Medicaid and CHIP Payment and Access Commission, accessed October 4, 2017.
- "Medicaid Pocket Primer," Kaiser Family Foundation (KFF), last modified June 9, 2017.
- California Health Insurers: Two Years After Reform, California Health Care Foundation, April 2017.
- Funding the Medi-Cal Program (PDF), Public Policy Institute of California, March 2017.
- Medi-Cal Monthly Enrollment Fast Facts (PDF), DHCS, March 2017.
- "Medicaid Financing: The Basics," KFF, December 22, 2016.
- "50th Anniversary of Medi-Cal," California Department of Health Care Services (DHCS), last modified October 3, 2016.
- The Medi-Cal 2020 Waiver and the Work Ahead for Public Health Care Systems (PDF), California Assn. of Public Hospitals and Health Systems and the California Health Care Safety Net Institute, February 2016.
- "Total Medicaid Spending: FY 2016," KFF.