As Medicaid redeterminations start up after a long COVID pause, little-known contractor Maximus stands to majorly benefit.
by Matthew Cunningham-Cook, The Lever
As more than 17 million people stand to lose health insurance in the unfolding Medicaid eligibility review disaster, there’s one company licking its lips: Maximus, a little-known federal contractor that is one of the biggest players in privatizing essential government services previously done by civil servants — in particular, taking over states’ capacity to determine who is eligible for Medicaid and who isn’t.
In a February earnings call for shareholders and Wall Street analysts, Maximus’ CEO Bruce Caswell announced that the current nationwide eligibility review of 90 million people on Medicaid and other government health insurance programs “is unprecedented in its scope,” and will allow Maximus “to gain traction in the market.” As a result of the deluge in so-called Medicaid “redeterminations,” Caswell said, “we expect improvement to operating margin.”

The company has accordingly boosted its earnings estimate by $100 million. Maximus’s share price is closing on its all-time high, up nearly 50 percent since October. Caswell earned $6.3 million in 2022.
Outsourcing Medicaid eligibility reviews to Maximus has major implications beyond the company’s expanding bottom line. It also removes essential government services from the realm of public accountability, while draining resources from governments.
Recent Posts
The Stunning Hypocrisy Of U.S. Foreign Policy
October 29, 2025
Take Action Now The US government regards the entire world as its legitimate sphere of influence, including the backyards of its rivals.By Donald…
The Lost Language Of The Working Class: Reviving Economic Populism In The Democratic Party
October 29, 2025
Take Action Now A detailed account of the Democrats’ alienation from working America and how candidates like Dan Osborn and Zohran Mamdani point the…
New Report From Corporate Democrats Falsely Claims Medicare For All Is “Unpopular”
October 28, 2025
Take Action Now The report declares that Medicare for All is in the category of “unpopular economic policies.” The claim is false.By Jeff Cohen…
Unfettered And Unaccountable: How Trump Is Building A Violent, Shadowy Federal Police Force
October 27, 2025
Take Action Now The administration gutted guardrails and offices meant to rein in abusive actions. Some families say they have no idea where their…




