Prognosis

Doctor Becomes Billionaire as Obamacare Begets Medicaid Riches

  • David Cotton and family sold Meridian for $2.5 billion in cash
  • Affordable Care Act brought insurers millions of new customers
Photographer: Daniel Acker/Bloomberg
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Catering to Detroit and Chicago’s poor has made the Cottons rich.

David Cotton and his family spent two decades building Meridian Health Plans into the biggest private provider of Medicaid benefits in Michigan and Illinois. It serves about 1.1 million members, with more than $4.3 billion of revenue forecastBloomberg Terminal for 2018.