The independent authority on Medicaid managed care performance and accountability. A Chuma Group company.
Billions of public dollars move through Medicaid managed care on the promise that payment can buy quality. TCI reads the primary record — contracts, methodologies, quality strategies, external quality review reports — and renders public, cited judgment on whether that promise is kept.
The Chuma Institute accepts no outside investment. We earn revenue from memberships, subscriptions to our research products, and commissioned studies. Commissioned work never purchases, previews, or influences a grade, and clients never receive rights to our underlying data, taxonomy, or tools. Where a graded entity is also a commercial client, that relationship is disclosed here.
Our methodology is published with every report. Every factual claim cites a primary-source document with retrieval date. Corrections policy: verified errors are corrected in place within five business days and logged publicly.
Charts and grade tables may be reproduced with attribution to The Chuma Institute. Cite as: Chiyembekeza, E. (2026). The Medicaid Quality Withhold Scorecard. The Chuma Institute. Media: press@chumainstitute.com.
The Radar Digest. The week in Medicaid managed care — sourced, cited, summarized. Free.