Thrive Healthcare Consultants

?? Medicaid Managed Care RFP Trends: Who Thrived in 2024? ?? 2024 was a busy year for Medicaid RFP contract awards. We’ve analyzed the performance of major health plan bidders. Here's some highlights of how the year shaped up: ?? AmeriHealth Caritas Lost market share overall with a significant loss in FL, despite resecuring contracts in MI, NH, and PA. ?? Blue Cross Blue Shield Affiliates Mixed outcomes: Lost a contract in ID but achieved a de novo win in KS. ? Centene Strong defender! Successfully resecuring 10 of 11 contracts, with only GA slipping through their grasp. ?? CVS/Aetna A mixed bag: Losses in KS and OH were counterbalanced by their entry into the PA CHC contract. ?? CareSource Focused on de novo growth, landing a highly anticipated new contract in Mississippi. ??? Elevance Maintained market share, losing GA but winning a key OH contract. ?? Humana A banner year with 4 new contracts in GA, MI, TX, and VA—showcasing impressive growth! ?? Molina Solid retention, holding onto 9 contracts but losing VA. They balanced the scales with a new win in GA. ?? UnitedHealthcare Achieved net gains: Resecured 7 contracts, lost 2 (MS, OH), and gained 3 (GA, ID, MI). ?? Awards Announced in 2024: CO, FL, GA, ID, IA, KS, MA, MI (x2), MS, NH, OH, PA, RI, TX, VA, and WI. RI and TX outcomes are under protest review. At Thrive Healthcare Consultants, we specialize in helping health plans win Medicaid RFPs. Through W!nsights? (TM pending) and years of successful guidance, we deliver data-driven insights to position your organization for success. ?? Ready to elevate your RFP strategy? Let’s talk about how we can help you win, grow, and thrive. #MedicaidRFP #HealthcareConsulting #W!nsights #Thrive

Nevada D-SNP RFP NOIs Nevada has issued a Notice of Intent for their D-SNP RFP to the following MCOs: -Anthem -SelectHealth -Humana -UnitedHealthcare https://lnkd.in/g4_4xKpH Here’s to many more successes as we help our clients thrive and reach their goals!

Ohio Medicaid announced Next Generation MyCare (Dual Eligible) awards today: -Anthem -Buckeye/Centene -CareSource -Molina https://lnkd.in/gDbPsDxf Thrilled to be celebrating with peers and our client - here's to continued success in helping clients thrive!

Medicaid Health Plan RFP Wins – Q3 YTD Highlights! Several major Medicaid health plans continue to make significant moves in 2024, expanding their Medicaid footprint and securing key contracts. Here’s a quick breakdown of the wins and losses: ?AmeriHealth Caritas & UnitedHealthcare – Mixed results, with both wins and losses across their footprint. ?Aetna – Big win in Pennsylvania’s CHC contract, despite a mixed track record. ?Blue Cross Blue Shield affiliates – Solid growth! Resecuring contracts while making new moves in Kansas (win) and Rhode Island. ?Centene – 100% defense! Successfully retained all eight contracts. ?CareSource – New state entry! Secured a highly anticipated win in Mississippi. ?Elevance & Molina – Strong defenses, but efforts to grow into new states fell short. 2024 Medicaid contract awards include: CO, FL, IA, KS, MA, MI, MS, NH, PA, and TX (STAR CHIP). Stay tuned for RI and VA – both currently under protest. Awards do not include BH-only contracts, dental-only contracts, PBM-only contracts, nor single population contracts (Foster Care/Children in State Custody). #Medicaid #MCO #healthplans #Growth #ContractWins #Thrive

With several RFP contracts yet to be awarded, there are already clear winners in the 2024 race to serve more Medicaid members. #medicaid #mco #healthplans #thrive