Tag: Medicaid Advantage

MHA Shares Medicare and Medicaid Enrollment Analysis

Member News

The MHA recently updated its analysis of Medicaid and Medicare enrollment based on February 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 organization. Just over 27% of Michigan’s total population is enrolled in Medicaid and 23% is enrolled in Medicare.

Roughly two-thirds of Michigan’s 2.66 million Medicaid beneficiaries are enrolled in one of nine managed care plans.

Total Medicare enrollment is 2.26 million with 63% of beneficiaries enrolled in a Medicaid Advantage (MA) plan with 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.

February enrollment is spread across 47 MA plans with up to 26 plans covering beneficiaries in several Michigan counties, with a minimum of six plans available in each county.

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

MHA Updates Medicaid and Medicare Enrollment Analysis

Member News

The MHA updated its analysis of Medicaid and Medicare enrollment to reflect July 2024 data. The analysis now 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 22% is enrolled in Medicare.

The Michigan Department of Health and Human Services recently completed the Medicaid redetermination process as required by the Consolidated Appropriations Act. July 2024 enrollment, including the Healthy Michigan Plan, is just over 2.6 million, which is down approximately 639,000 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 have subsequently reenrolled in the program, have other third-party coverage or have sought coverage on the federal marketplace.

Total Medicare enrollment is 2.26 million, with 62% 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 varies from 45% to 77%, with most counties having 55% or more of their Medicare population enrolled in an MA plan, as highlighted below.

July enrollment is spread across 48 MA plans, with up to 30 plans covering beneficiaries in several Michigan counties.

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