Date of Award


Document Type

Open Access Thesis

Degree Name

Master of Arts in Leadership (MAL)




As a result of tlie 2010 Patient Protection and Affordable Care Act (ACA), eligibility requirements for the Medicaid program were revised resulting in a greater number of people eligible to enroll in tlie government healthcare program. These circumstances require numerous organizational changes for Medicaid managed care organizations (MCOs) that administer the Medicaid program in order to accommodate the healthcare needs of the growing Medicaid population and comply with applicable regulatory requirements. This case study sought to identify effective leadership strategies employed by Minnesota Medicaid MCO change leaders guiding organizational change processes and seeking quality change outcomes, resulting from the externally imposed change. Minnesota Medicaid MCOs were chosen for this study as Minnesota accepted the option to expand the Medicaid eligibility requirements prior to the national mandate in 2014, creating opportunity to learn from those leadership experiences and share the information with leaders who will face similar changes in the future. This exploratory research identified three components to support successful change leadership in this context, including collaboration, planning and preparing, and communication. This research contributes to a void in existing literature on change leadership and change management, which has historically focused on internal change initiatives.


SC 11.MAL.2012.Aurand.E