Managed Health Care
Case studies in managed health care.
Centene — Where to Compete in Medicare Advantage?
Centene Corporation had built a national managed-care business around Medicaid, then extended into Medicare and the Health Insurance Marketplace. Its principal Medicare Advantage brand was Wellcare. On April 26, 2024, Centene filed its first-quarter results. Read case
Elevance Health: Renew, rebuild, or retreat in Medicaid?
On August 3, Elevance Health's strategy team is preparing a recommendation for a hypothetical leadership review of its Medicaid business. The question is not whether public health insurance matters to Elevance: the company serves millions of Medicaid members, and state contracts connect its health plans with a broad provider and community network. Read case
Humana and the 2025 Medicare Advantage bid
Humana had weeks to finalize its 2025 Medicare Advantage (MA) bids. The national payment announcement showed an average increase, yet Humana’s leaders warned that benefits and plan choice could still come under pressure. The strategic question was which plans and benefits to protect, redesign, or leave as the company balanced affordability, member growth, and margin recovery. Read case
UnitedHealth Group: Bidding for Medicare Advantage Under a Changing Model
On Friday, June 2, UnitedHealthcare's Medicare Advantage team had one last weekend before submitting its 2024 bids to the Centers for Medicare & Medicaid Services (CMS). The deadline was Monday, June 5. The company had to decide which county offerings to retain and how to set premiums and benefits for the next contract year. Read case