The June 2019 Edition was produced by Manisha Gupta and Mohammed Hamdan.  It focuses on the level of marketing spending in the MCO industry, comparing the Medicaid, Medicare, and commercial sectors.  On average, we found that Medicaid MCOs used 0.19% of their revenues on marketing, advertising, and commissions.  These percentages were much higher among Medicare-dominant MCOs (2.26%) and commercial MCOs (3.43%).