MCOs
Managed Care Organizations
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Compliance
7
Active MCOs
89,240
Enrolled Members
94.2%
Avg Quality Score
Capitation Rates (PMPM)
- Weighted Avg PMPM$547
- Contracts Renewing 90 Days2
Quality Measures
3.8
HEDIS Stars
0.4%
Grievance Rate
3.2%
Auth Denials
- Preventive Screenings78.4%
- Member Satisfaction (CAHPS)4.1 / 5.0
- Readmission Rate (30-day)11.2%
| MCO Name | Contract ID | State | Line of Business | Members | Contract Value | Expiration | Status | Actions |
|---|---|---|---|---|---|---|---|---|
| Aetna Better Health | ABH-CA-2025 | California | Medicaid | 28,300 | $12.4M | Dec 31, 2026 | Active | |
| Molina Healthcare | MOL-TX-2025 | Texas | Medicaid / CHIP | 31,420 | $14.8M | Aug 31, 2026 | Active | |
| WellCare Health Plans | WCP-NY-2025 | New York | Medicare | 18,520 | $16.2M | Dec 31, 2025 | Renewing | |
| Centene Corporation | CEN-FL-2025 | Florida | Medicaid | 11,000 | $9.1M | Sep 30, 2026 | Active |
Showing 4 of 7 MCOs