UNH · 10-Q · 2026Q3 · Full report

Medicaid Enrollment and Rate Trends

UNITEDHEALTH GROUP INC · 2026-11-03 · Importance 49 · Surprise 32

UnitedHealthcare Medicaid enrollment declined 765,000, or 10%, year over year to 6.695 million at September 30, 2026; the company attributes the decline to an exit from one state and reduced Medicaid eligibility. Elevated behavioral, pharmacy and home-health care activity has created a timing mismatch between members’ health needs and state rate updates. The company says funding and payment rates remain insufficient for patient needs and is taking a prudent approach to new business and existing state relationships while seeking actuarially sound rates.

Key facts

• Elevated Medicaid care activity, particularly in behavioral, pharmacy and home health, has created a timing mismatch between the health status of people served and state rate updates. source
• People served by UnitedHealth Group Medicaid offerings declined in 2026 due to the exit from one state and reduced Medicaid eligibility. source