CareSource Notches a Win in Georgia Medicaid Awards; Centene Is Left Out
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Dec 05, 2024
CareSource, which serves approximately one quarter of managed Medicaid enrollees in the Georgia Families program, on Dec. 2 became the only incumbent bidder out of four managed care organizations selected for new contracts expected to start in 2026. Major Medicaid players Centene Corp. and Elevance Health, Inc. were left out of the awards, while Humana Inc., Molina Healthcare, Inc. and UnitedHealthcare successfully bid on contracts that could generate at least $15 billion in combined annual revenue.
According to AIS’s Directory of Health Plans, nearly 1.7 million Medicaid beneficiaries in Georgia are in managed care, while another 1 million are in fee-for-service Medicaid. Three MCOs — CareSource, Centene’s Peach State Health Plan and Elevance Health’s Amerigroup Georgia — currently serve the program. With nearly 775,000 enrollees, Centene has the largest market share (46%).
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