States ranked by annual Medicaid managed care spend
By Jakob Emerson / November 7, 2023
New York spends the most on its Medicaid managed care program every year, according to data published by KFF in November. The U.S. total is more than $441 billion.
KFF sourced Urban Institute estimates based on data from CMS, as of September 2023. In Nebraska, some long-term Medicaid spending is reported under managed care. New York data may reflect anomalous spending due to adjustments, changes in expenditures and lags in state claims.
Total managed care spending includes payments made to health maintenance organizations, prepaid health plans and other health plans, along with primary care case management fees.
States ranked by annual Medicaid managed care spend:
New York: $50.8 billion
California: $50.5 billion
Texas: $37.5 billion
Pennsylvania: $32.3 billion
Florida: $22.1 billion
Ohio: $19.8 billion
Illinois: $19 billion
Arizona: $16.3 billion
Michigan: $13.9 billion
New Jersey: $13.7 billion
Washington: $12.3 billion
Virginia: $10.9 billion
Kentucky: $10.3 billion
North Carolina: $10 billion
Louisiana: $9.9 billion
Massachusetts: $8.6 billion
Indiana: $8.3 billion
Minnesota: $8.1 billion
Tennessee: $8 billion
Oregon: $7.7 billion
Maryland: $6.6 billion
New Mexico: $6.6 billion
Iowa: $6.1 billion
Wisconsin: $6 billion
Georgia: $5.5 billion
Arkansas: $4.1 billion
Kansas: $3.9 billion
Missouri: $3.6 billion
South Carolina: $3.4 billion
Hawaii: $2.7 billion
Mississippi: $2.6 billion
Nevada: $2.5 billion
Delaware: $2.5 billion
West Virginia: $2.4 billion
Colorado: $2.2 billion
Utah: $2.1 billion
Nebraska: $2 billion
Rhode Island: $1.9 billion
District of Columbia: $1.6 billion
New Hampshire: $1.1 billion
Idaho: $828.6 million
North Dakota: $423.1 million
Connecticut: $135.6 million
Alabama: $132.3 million
Oklahoma: $81.9 million
Montana: $52.8 million
Maine: $10.8 million
Wyoming: $2.4 million
South Dakota: $1.4 million
Alaska: $692,683
Vermont: $0