The document discusses the business opportunities for Medicaid managed care plans created by the health reform expansion of Medicaid. Key points include: - An estimated 15 million additional people will gain Medicaid coverage, making it a large part of the insurance market. - States are looking for Medicaid managed care plans to take on the new members and financial risk. - This provides health plans with new patients and revenue to invest in initiatives like patient-centered medical homes and accountable care organizations.