Health
Medicaid Managed Care Enrollment


Medicaid Managed Care Enrollment

What does this measure?

The percentage of people enrolled in Pennsylvania HealthChoices, a set of managed care programs that deliver Medicaid health benefits to eligible people, primarily those with low incomes and/or disabilities.

Why is this important?

This measure shows the proportion of people who depend on government for health insurance because they cannot access affordable coverage through jobs or other means. The state has transitioned most Medicaid recipients from a traditional fee-for-service state-operated program to managed care models operated by insurance providers in an effort to both cut costs and improve care.

How is our county performing?

In 2017, 18% of Berks County residents had enrolled in Medicaid managed care, similar to Pennsylvania. The county rate was up 4 percentage points from 2015. The state experienced a similar increase.

Among neighboring counties, Berks' percentage of people enrolled in Medicaid managed care was similar to Schuylkill and Lehigh. Berks' rate was higher than Chester (8%), Lancaster (14%), Lebanon (16%) and Montgomery (10%). The percentage of Medicaid managed care enrollees rose in all counties from 2015 to 2017 as the state entered its third year of expanded Medicaid eligibility, with increases ranging from 2 percentage points in Chester and Lancaster to 5 points in Lehigh and Schuylkill.

Notes about the data

Data are from the Pennsylvania Department of Human Services. Comparable national data were not available.

There may be additional research available on this topic. Click on Reports and Resources to learn more.

Medicaid Managed Care Enrollment
201520162017
Pennsylvania13%17%18%
Berks County14%17%18%
Berks County Regions
Central
Northeast
South
Southeast
West
Reading city
Berks County Peers
Chester County6%8%8%
Lancaster County11%13%14%
Lebanon County12%15%16%
Lehigh County14%18%19%
Montgomery County7%10%10%
Schuylkill County13%17%18%

Source: Pennsylvania Department of Human Services
Notes: Data as of January. Comparable national data were not available.




Number of People Enrolled in Medicaid Managed Care
201520162017
Pennsylvania1,646,0882,151,2622,273,484
Berks County57,03371,86476,945
Berks County Regions
Central
Northeast
South
Southeast
West
Reading city
Berks County Peers
Chester County31,47341,92943,876
Lancaster County56,99571,99374,877
Lebanon County16,38421,26322,257
Lehigh County49,08665,12768,142
Montgomery County57,96481,01085,542
Schuylkill County18,67224,76826,205

Source: Pennsylvania Department of Human Services
Notes: Data as of January. Comparable national data were not available.




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