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 2019, 19% of Berks County residents had enrolled in Medicaid managed care, similar to Pennsylvania (18%). The county rate was up 5 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 (9%), Lancaster (14%), Lebanon (16%) and Montgomery (10%). The percentage of Medicaid managed care enrollees rose in all counties from 2015 to 2019 as the state entered its fourth year of expanded Medicaid eligibility, with increases ranging from 2 percentage points in Chester to 6 points in Lehigh.

Notes about the data

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

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Medicaid Managed Care Enrollment
Berks County14%17%18%19%19%
Berks County Regions
Reading city
Berks County Peers
Chester County6%8%8%9%9%
Lancaster County11%13%14%14%14%
Lebanon County12%15%16%16%16%
Lehigh County14%18%19%20%20%
Montgomery County7%10%10%11%10%
Schuylkill County13%17%18%19%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
Berks County57,03371,86476,94579,59679,489
Berks County Regions
Reading city
Berks County Peers
Chester County31,47341,92943,87645,14044,738
Lancaster County56,99571,99374,87776,01173,803
Lebanon County16,38421,26322,25723,24122,374
Lehigh County49,08665,12768,14272,39972,385
Montgomery County57,96481,01085,54287,92786,054
Schuylkill County18,67224,76826,20526,83525,949

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

Adults Who are Overweight or Obese Not Applicable
Students in K-6 Overweight or Obese Not Applicable
Students in 7-12 Overweight or Obese Not Applicable
Physically Inactive Adults Not Applicable
Students Eligible for Free/Reduced Price Lunch Increasing
Early Prenatal Care Increasing
Early Prenatal Care by Mother's Race/Ethnicity Not Applicable
Children Living in Poverty Increasing
Children Living in Poverty, by Race/Ethnicity Not Applicable
Single-Parent Families Increasing
Single-Parent Families by Race/Ethnicity Not Applicable
Disengaged Youth Decreasing
Live Births to Teen Mothers Decreasing
Population by Age Not Applicable
Children with Elevated Blood Lead Levels Maintaining
Change in Population by Age and Gender Not Applicable
Change in Total Population by Race/Ethnicity Not Applicable
Households by type Not Applicable
Foreign-Born Population Increasing
Seniors Living Alone Maintaining
Language Diversity Increasing
Unemployment Rate Increasing
Change in Labor Force Decreasing
Employment to Population ratio Decreasing
Change in Jobs by Sector Not Applicable
Sector Share of Total Jobs Not Applicable
Average Salary by Sector Not Applicable
Change in Average Salary by Sector Not Applicable
People Entering/Leaving County/Region for Work Not Applicable
Public Assistance Maintaining
Spending for Local Governments Maintaining
Spending for Counties Maintaining
Spending for School Districts Maintaining
Prekindergarten Participation Increasing
English Language Learners Increasing
Students Receiving Special Education Services Increasing
Per Student Spending Maintaining
High School Cohort Graduation Rate Increasing
Education Levels of Adults Not Applicable
Education Levels of Adults, by Race/Ethnicity Not Applicable
Brain Drain/Gain Maintaining
Plans of High School Graduates Not Applicable
Enrollment in Local Colleges Decreasing
Median Household Income Maintaining
Median Household Income by Household Type Not Applicable
Living Wage Not Applicable
People Living in Poverty Increasing
Working Poor Maintaining
People Receiving Federal Food Assistance Increasing
People Receiving Supplemental Security Income Increasing
Health Status Not Applicable
People Enrolled in Medicaid Managed Care Increasing
People Without Health Insurance Decreasing
Cancer Incidence Decreasing
Prevalence of Mental Illness Maintaining
Vacant Housing Units Increasing
Homeownership Rates Decreasing
Cost of Homeownership Maintaining
Cost of Homeownership, by Race/Ethnicity Not Applicable
Cost of Rent Increasing
Cost of Rent, by Race/Ethnicity Not Applicable
Single-Family Home Sales Increasing
Median Single-Family Home Sale Price Maintaining
Tourism Spending Maintaining
Voter Registration Rate Decreasing
Voter Participation Rate Decreasing
Average Charitable Giving Maintaining
Contributions as a Percentage of Income Maintaining
Households With Internet Access Not Applicable
Arts, Entertainment and Recreation Establishments Maintaining
Toxic Chemical Releases Decreasing
Violent Crimes Maintaining
Property Crimes Decreasing
Incarceration Rates Maintaining
Drug Abuse Offenses Increasing
Drug Abuse Arrests Increasing
Protection from Domestic Abuse Maintaining
Average Travel Time to Work Increasing
Crashes Involving Alcohol Decreasing
Households Without Vehicles Decreasing