Tag Archives: MI
Market Overview PDF
Download NowMichigan_042224.pdf
MI Data Show Cost Sharing May Cause Medicaid Expansion Members to Drop Coverage
Pharmacy Times reported on May 13, 2021, that cost sharing requirements such as monthly premiums and copays may have led to an increase in Michigan Medicaid expansion member disenrollment, according to a study published in the American Journal of Health Economics. Healthier members were more likely to drop coverage after the imposition of cost-sharing requirements, the study said. Read More
Michigan Medicare Market Overview
Download NowMichigan_Medicare_030821.pdf
MI SNP Membership at 34,604, Mar-20 Data
Michigan had 34,604 Special Needs Plan members as of March 2020.
MLRs Average 80.1% at MI Medicaid MCOs, 2019 Data
Average medical loss ratio among nine Michigan Medicaid managed care plans was 80.1% in 2019. Per member per month premiums averaged $298.
MI Medicaid Fee for Service vs. Managed Care Penetration, 2014-19
Total Medicaid enrollment in Michigan was 2.3 million in 2019. About 76.4% of Medicaid beneficiaries were enrolled in a managed care plan. The remainder are in fee-for-service Medicaid. Total Medicaid expenditures were $18.3 billion in 2019, with about 65.3% through managed care and the rest through fee-for-service.
MI Dual Demo Enrollment is Down 1.2%, Apr-20 Data
There are 36,864 individuals enrolled in Michigan’s dual demonstration, MI Health Link, as of April 2020, representing a 1.2% decrease since year-end 2019. Enrollment increased 7.7% in 2019, decreased 10.0% in 2018, increased 4.5% in 2017, and increased 5.7% in 2016.
MI Medicaid Managed Care Enrollment is Up 2.1%, Apr-20 Data
Medicaid managed care enrollment in Michigan was up 2.1% in April 2020 to 1.80 million, compared to year-end 2019, after a 0.2% increase in 2019, a 1.8% decrease in 2018, a 2.2% increase in 2017, a 7.0% increase in 2016, an 11.1% increase in 2015, a 20.2% increase in 2014, and a flat showing in 2013.
MI Budget Is Further Strained by Rising Medicaid Enrollment
The Detroit News reported on May 14, 2020, that the Michigan state budget is being further strained by rising Medicaid enrollment. In the past two months, Medicaid enrollment in Michigan rose by 110,000, with a projected annual cost of as much as $500 million. That’s on top of a previously projected budget shortfall of up to $3 billion. Read More
MI State Medicaid Agency Contract (SMAC) D-SNP Model Contracts, 2019-20
1. Michigan State Medicaid Agency Contract (SMAC) D-SNP Model Contract, 2020
2. MI SMAC D-SNP Model Contract, 2019
