Managed Care

The Department of Defense says most TRICARE costs will remain largely stable in 2027, although premiums for some unsubsidized plans are expected to rise sharply. The November 9–December 8 open-enrollment period and continued scrutiny of major managed-care and pharmacy-benefit arrangements are relevant to contractors, prospective bidders, and enrollment-support providers; no new solicitation or award was identified.

Molina Healthcare Inc. focuses on expanding its Medicaid contracts in response to evolving health coverage needs in the U.S. As the managed care landscape changes, procurement professionals should stay alert to emerging opportunities tied to state and federal Medicaid program fluctuations.

The Illinois Department of Healthcare and Family Services has awarded new Medicaid Managed Care contracts, covering 2.4 million enrollees. These contracts highlight value-based payments and integrated care models, presenting significant procurement opportunities for vendors and providers in the healthcare sector.