Medicare Advantage (MA) enrollment in Michigan totaled approximately 1.25 million in January, an increase of 33,000 beneficiaries since October. The January enrollment is spread across 48 MA plans that are currently operating in the state, with approximately 57.8% of Michigan’s 2.17 million Medicare beneficiaries covered by an MA plan. With up to 29 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.
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.
Members with questions may contact Katie Jaskolski at the MHA.
Medicare Advantage (MA) enrollment in Michigan totaled approximately 1.2 million in July, an increase of 15,000 beneficiaries since April. The July MA enrollment is spread across 47 MA plans that are currently operating in the state, with approximately 56% of Michigan’s 2.1 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 30 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.
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 July enrollment. In addition to the 47 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 Katie Jaskolski at the MHA.
The state Legislature took initial action on several bills that the MHA is watching during the week of May 23. In the House, testimony was taken on bills to make changes to lead testing requirements for children and a bill that would create a new state-based exchange for healthcare insurance. In the Senate ..
The MHA Legislative Policy Panel convened May 25 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals. The meeting was highlighted by a presentation from former State House Speaker Jase Bolger on the Michigan …
The MHA, the Michigan Community College Association, Michigan Independent Colleges and Universities and the Michigan Association of State Universities released June 1 a collaborative proposal to invest state funds in expanding access to bachelor of science in nursing (BSN) degree programs to the state’s …
Applications are due June 30 for the 2022-2023 class of the MHA Excellence in Governance Fellowship, which will be held from October 2022 through June 2023. Board members and executives who want to hear more about the fellowship experience can watch a video of graduates’ testimonials explaining …
The MHA released another episode of the MiCare Champion Cast, which features interviews with healthcare policy experts in Michigan on key issues that impact healthcare and the health of communities. On this episode, Karen Cheeseman, CEO of Mackinac Straits Health System …
Suicide safety continues to be a priority for accrediting organizations such as the Centers for Medicare & Medicaid Services and The Joint Commission, requiring many providers to evaluate various policies and processes. They include how to keep suicidal patients safe when care is needed outside of …
The MHA hosted a CEO Rural Round Table event May 25 where healthcare leaders safely gathered at the Grand Traverse Resort & Spa to collaborate on ways to foster growth and make immediate and long-term improvements in rural communities. …
MHA Senior Vice President of Advocacy Adam Carlson is listed in the 50 Names to Know in Lobbying guide for 2022 published by Crain’s Detroit Business. The Crain’s list is a selection of professionals representing trade groups, major corporations, law firms and multiclient firms. …
Medicare Advantage (MA) enrollment in Michigan totaled approximately 1.18 million in April, an increase of 23,000 beneficiaries since January. The April MA enrollment is spread across 46 MA plans that are currently operating in the state, with approximately 56 percent of Michigan’s 2.1 million …
“Mental illness involves mood, stress, substance abuse and anxiety disorders and impacts children and adults. Mental illnesses are more common than cancer, diabetes, or heart disease in the U.S. but its been treated as a second-class citizen in the U.S. health system for decades.”
The MHA will host a webinar from 11 a.m. to noon ET June 8 with ParaRev to provide an update on the Protecting Access to Medicare Act (PAMA) Lab Test Private Payor Rate Reporting – CMS Update on PAMA Reporting Requirements.
MHA Endorsed Business Partner SUNRx will host a 340B Regulatory Brief from 2 to 3 p.m. ET June 14 to provide valuable insights for consideration in the management of participants’ 340B pharmacy strategies. The webinar will cover the current regulatory environment and implications moving forward.
MHA CEO Brian Peters spoke with Michael Patrick Shiels of Michigan’s Big Show June 3 as part of the Detroit Regional Chamber’s 2022 Mackinac Policy Conference.
