Iowa | 2022 | Health Plan Analysis (Event Driven)

Wellmark Blue Cross and Blue Shield of Iowa remains the dominant player in Iowa's commercial insurance landscape with massive enrollment, but UnitedHealthcare, Anthem and Cigna have made considerable enrollment gains in recent years. On the health insurance exchange, Wellmark leads Medica in enrollment by a wide margin, followed by Oscar Health for the 2022 plan year, giving a sense of stability to the exchange. Iowa's Medicaid program, IA Health Link, staggers on through funding issues; it dropped one MCO in 2018 over a financial dispute and picked up another in 2019, as regulators continue to try to tweak the program on the fly. However, the state has released a request for proposals for Medicaid managed care organizations in mid February 2022 and the contracts could be finalized by fall 2022.

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