This research report provides reference and benchmarking information for certain key metrics used in the routine analysis of Medicaid financial performance of managed care organizations (MCOs). It summarizes selected 2022 financial data, relying on the MCOs’ use of the standard reporting structure developed by the National Association of Insurance Commissioners. An interactive tool allowing users to generate multiyear state-specific financial information is available on the report's landing page. 

The paper’s key sections include: 

• Summary of 2022 financial results
• Administrative cost analysis
• Changes in Medicaid MCO enrollment