Tag Archives: MI

Market Overview PDF

Download NowMichigan_100923.pdf

Posted in Market Overview PDF, Michigan | Comments Off on Market Overview 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

Posted in Michigan, National, News | Comments Off on MI Data Show Cost Sharing May Cause Medicaid Expansion Members to Drop Coverage

Michigan Medicare Market Overview

Download NowMichigan_Medicare_030821.pdf

Posted in Medicare Market Overview PDF, Michigan | Comments Off on Michigan Medicare Market Overview

MI SNP Membership at 34,604, Mar-20 Data

Michigan had 34,604 Special Needs Plan members as of March 2020.

Posted in Enrollment, Medicaid Data, Michigan | Comments Off on MI SNP Membership at 34,604, Mar-20 Data

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.

Posted in Financials and Utilization Data, Medicaid Data, Michigan | Comments Off on MLRs Average 80.1% at MI Medicaid MCOs, 2019 Data

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.

Posted in Enrollment, Medicaid Data, Michigan | Comments Off on MI Medicaid Fee for Service vs. Managed Care Penetration, 2014-19

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.

Posted in Enrollment, Medicaid Data, Michigan | Comments Off on MI Dual Demo Enrollment is Down 1.2%, Apr-20 Data

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.

Posted in Enrollment, Medicaid Data, Michigan | Comments Off on MI Medicaid Managed Care Enrollment is Up 2.1%, Apr-20 Data

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

Posted in Medicaid Daily News Roundup, Michigan, News | Comments Off on MI Budget Is Further Strained by Rising Medicaid Enrollment

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

Posted in Michigan, RFPs & Public Documents, RFPs and Responses | Comments Off on MI State Medicaid Agency Contract (SMAC) D-SNP Model Contracts, 2019-20