UNH · 10-Q · 2026Q2 · Full report

Medicaid Funding and Rates

UNITEDHEALTH GROUP INC · 2026-08-10 · Importance 57 · Surprise 50

Elevated Medicaid care activity, particularly in behavioral, pharmacy and home health services, has created a timing mismatch between member health status and state rate updates. UnitedHealth Group states that the funding and payment-rate environment is insufficient to meet patient needs and risks continued downward pressure on Medicaid margins. Medicaid membership declined in the first half of 2026 because of an exit from one state and reduced eligibility. The Company is advocating for actuarially sound rates aligned with medical cost trends and is limiting new business to sustainable markets.