As Medicaid's rolls have swelled under the Affordable Care Act's expansion, millions more Americans have been moved into privately administered Medicaid managed care plans. But oversight of those programs is often lacking, NPR and Kaiser Health News report.

Why it matters: Medicaid managed care plans now cover more than 54 million people, and collect more than $300 billion from the states for that service.

  • "We haven't been holding plans to the level of scrutiny they need," Andrew Bindman, a former director of the Agency for Healthcare Research and Quality, told KHN.

Details, per KHN/NPR report:

"State lawmakers in Mississippi ... criticized their Medicaid program last year for ignoring the poor performance of two insurers."
"In Illinois, auditors said in January that the state didn't properly monitor $7 billion paid to Medicaid plans in 2016."
"Iowa's state ombudsman said Medicaid insurers there had denied or reduced services to disabled patients in a 'stubborn and absurd' way."

Go deeper

BodyArmor takes aim at Gatorade's sports drink dominance

Illustration: Eniola Odetunde/Axios

BodyArmor is making noise in the sports drink market, announcing seven new athlete partnerships last week, including Christian McCaffrey, Sabrina Ionescu and Ronald Acuña Jr.

Why it matters: It wants to market itself as a worthy challenger to the throne that Gatorade has occupied for nearly six decades.

S&P 500's historic rebound leaves investors divided on future

Data: Money.net; Chart: Axios Visuals

The S&P 500 nearly closed at an all-time high on Wednesday and remains poised to go from peak to trough to peak in less than half a year.

By the numbers: Since hitting its low on March 23, the S&P has risen about 50%, with more than 40 of its members doubling, according to Bloomberg. The $12 trillion dollars of share value that vanished in late March has almost completely returned.

Newsrooms abandoned as pandemic drags on

Illustration: Sarah Grillo/Axios

Facing enormous financial pressure and uncertainty around reopenings, media companies are giving up on their years-long building leases for more permanent work-from-home structures. Others are letting employees work remotely for the foreseeable future.

Why it matters: Real estate is often the most expensive asset that media companies own. And for companies that don't own their space, it's often the biggest expense.