Healthcare Reimbursement and Financing
Hospital and health system financing and reimbursement is complex and affects access to care in communities across Michigan. The MHA works on behalf of its members to achieve fair and adequate healthcare funding, and also helps hospitals communicate financial issues to the communities they serve.
Federal and State Hospital Finance Issues
The MHA monitors and engages with federal and state agencies that develop financing rules that direct hospital payments. These include payments for inpatient and outpatient services, value-based payments and fee-for-service payments. The MHA provides comments on key policy issues that impact the entire membership and/or significant subsets of the Michigan hospital community. MHA comments are shared with the membership through the Monday Report and direct email communications to assist members in developing their own comments to governmental agencies.
Hospital Association Reporting Portal (HARP)
HARP is a secure online portal that allows MHA-member hospitals to access hospital-specific information while also providing an upload functionality for submitting documentation to the MHA. For any questions contact the Health Finance Department.
Medicare Advantage Enrollment
The MHA recently updated its analysis of Medicaid and Medicare enrollment based on February 2026 data. The analysis includes program enrollment as a percentage of each county’s total population and the split between fee-for-service and managed care organization. Just over 25% of Michigan’s total population is enrolled in Medicaid and 23% is enrolled in Medicare.
Roughly two-thirds of Michigan’s 2.5 million Medicaid beneficiaries are enrolled in one of nine managed care plans.
Total Medicare enrollment is 2.3 million with 64% of beneficiaries enrolled in a Medicaid Advantage (MA) plan with only three counties having less than 50% of total Medicare enrollment in MA plans. MA enrollment by county ranges from 44% to 79%, with 73 counties having 55% or more of their Medicare population enrolled in an MA plan as highlighted below.
February enrollment is spread across 45 MA plans with up to 29 plans covering beneficiaries in several Michigan counties, with a minimum of five plans available in each county.
Members with enrollment questions should contact the Health Finance team at the MHA.