Medicare Advantage Enrollment Continues to Rise

Posted on February 22, 2018

Medicare Advantage (MA) enrollment in Michigan totaled approximately 812,000 in January, an increase of 85,000 beneficiaries since October. The January MA enrollment is spread across 34 MA plans that are currently operating in the state, with approximately 41 percent of Michigan's 2 million Medicare beneficiaries covered by an MA plan. Hospitals are encouraged to carefully review payments from each MA plan to ensure that the plan has paid the correct rates. With up to 20 plans covering beneficiaries in some Michigan counties, a significant burden has been created for hospitals, which may be intensified if MA plans conduct their own audits for medical necessity and other utilization issues.

Featured in Monday Report. Click for the full edition.To assist hospitals in identifying which MA plans are currently operating in their region, the MHA has updated the list of plans in each Michigan county, based on January enrollment. In addition to the 34 plans currently licensed in the state, Michigan hospitals often treat patients covered by MA plans licensed in other states, further complicating the payment process. Members with questions should contact Kellen Teel at the MHA.



Tags: Medicare Advantage, MA, January enrollment

Posted in: Member News

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