MHA Shares Recent Medicare and Medicaid Enrollment Analysis

The MHA recently updated its analysis of Medicaid and Medicare enrollment based on June 2025 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 organizations. More than 26% of Michigan’s total population is enrolled in Medicaid and 23% is enrolled in Medicare.

Roughly two-thirds of Michigan’s 2.63 million Medicaid beneficiaries are enrolled in one of nine managed care plans.

Total Medicare enrollment is 2.27 million, with 63% of beneficiaries enrolled in a Medicaid Advantage (MA) plans, and only two counties having less than 50% of total Medicare enrollment in MA plans. MA enrollment by county ranges from 46% to 79%, and 73 counties having 55% or more of their Medicare population enrolled in an MA plan as highlighted below.

 

 

 

 

 

 

 

 

June enrollment is spread across 46 MA plans with up to 29 plans covering beneficiaries in several Michigan counties and a minimum of five plans available in each county.

Members with enrollment questions should contact the Health Finance team at the MHA.

MHA Shares Recent Medicare and Medicaid Enrollment Analysis

The MHA recently updated its analysis of Medicaid and Medicare enrollment based on May 2025 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 organizations. Just over 26% of Michigan’s total population is enrolled in Medicaid and 23% is enrolled in Medicare.

Roughly two-thirds of Michigan’s 2.63 million Medicaid beneficiaries, are enrolled in one of nine managed care plans.

Total Medicare enrollment is 2.27 million, with 63% of beneficiaries enrolled in a Medicaid Advantage (MA) plan and only two counties having less than 50% of total Medicare enrollment in MA plans. MA enrollment by county ranges from 46% to 78%, with 72 counties having 55% or more of their Medicare population enrolled in an MA plan.

May enrollment is spread across 46 MA plans, with up to 29 plans covering beneficiaries in several Michigan counties and a minimum of six plans available in each county.

Members with enrollment questions should contact the Health Finance team at the MHA.

MHA Shares September Medicare and Medicaid Enrollment Analysis

The MHA updated its analysis of Medicaid and Medicare enrollment based on September 2024 data. The analysis includes program enrollment as a percentage of each county’s total population and the split between fee-for-service (FFS) and managed care organization (MCO). Just over 26% of Michigan’s total population is enrolled in Medicaid and 22% is enrolled in Medicare.

The Michigan Department of Health and Human Services completed the Medicaid redetermination process as required by the Consolidated Appropriations Act. September 2024 enrollment, including the Healthy Michigan Plan, is just over 2.6 million, which is down approximately 617,000 since July 2023. 67% of Medicaid beneficiaries are enrolled in one of nine managed care plans.

The impact on hospitals is unknown since many enrollees had other coverage and their services were not billed to Medicaid. Many individuals who lost coverage subsequently reenrolled in the program, have other third-party coverage or sought coverage on the federal marketplace.

Total Medicare enrollment is 2.24 million, with 62% of beneficiaries enrolled in a Medicaid Advantage (MA) plan and only three counties having less than 50% of total Medicare enrollment in MA plans. MA enrollment by county ranges from 45% to 77%, with 68 counties having 55% or more of their Medicare population enrolled in an MA plan, as highlighted below.

September enrollment is spread across 47 MA plans, with up to 30 plans covering beneficiaries in several Michigan counties and a minimum of four plans available in each county.

Members with enrollment questions should contact the Health Finance team at the MHA.