Medicare Advantage Enrollment Continues to Rise

Posted on May 15, 2020

Medicare Advantage (MA) enrollment in Michigan totaled approximately 994,000 in April, an increase of 24,000 beneficiaries since January. The April MA enrollment is spread across 43 MA plans that are currently operating in the state, with approximately 50 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 24 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 its list of plans in each Michigan county, based on April enrollment. In addition to the 43 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, Enrollment, Kellen Teel

Posted in: Member News

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