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Table 9D: Patient Related Revenue

Michigan Data

X

39 Awardees

Line Payer Category Charges Collections
Full Charges This Period (a)
$
% of Payer % of Total Amount Collected This Period (b)
$
% of Payer % of Total % of Charges
1. Medicaid Non-Managed Care $159,139,381 35.01% 16.00% $138,657,867 37.73% 20.28% 87.13%
2a. Medicaid Managed Care (capitated) $1,145,366 0.25% 0.12% $1,133,873 0.31% 0.17% 99.00%
2b. Medicaid Managed Care (fee-for-service) $294,212,063 64.73% 29.58% $227,720,170 61.96% 33.30% 77.40%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $454,496,810 100.00% 45.70% $367,511,910 100.00% 53.75% 80.86%
4. Medicare Non-Managed Care $134,794,738 66.06% 13.55% $99,629,820 68.42% 14.57% 73.91%
5a. Medicare Managed Care (capitated) $5,705,959 2.80% 0.57% $3,079,426 2.11% 0.45% 53.97%
5b. Medicare Managed Care (fee-for-service) $63,543,592 31.14% 6.39% $42,903,244 29.46% 6.27% 67.52%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $204,044,289 100.00% 20.52% $145,612,490 100.00% 21.29% 71.36%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $2,199,331 67.32% 0.22% $1,376,852 64.03% 0.20% 62.60%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $1,067,623 32.68% 0.11% $773,350 35.97% 0.11% 72.44%
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $3,266,954 100.00% 0.33% $2,150,202 100.00% 0.31% 65.82%
10. Private Non-Managed Care $209,883,322 84.73% 21.10% $126,359,213 87.57% 18.48% 60.20%
11a. Private Managed Care (capitated) $1,595,520 0.64% 0.16% $1,068,429 0.74% 0.16% 66.96%
11b. Private Managed Care (fee-for-service) $36,220,075 14.62% 3.64% $16,861,348 11.69% 2.47% 46.55%
12. Total Private (Sum of Lines 10 + 11a + 11b) $247,698,917 100.00% 24.90% $144,288,990 100.00% 21.10% 58.25%
13. Self-Pay $85,084,368 100.00% 8.55% $24,230,687 100.00% 3.54% 28.48%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $994,591,338 100.00% $683,794,279 100.00% 68.75%
Line Payer Category Retroactive Settlements, Receipts, and Paybacks(c) Adjustments
Collection of Reconciliation
/Wraparound Current Year(c1)
$
Collection of Reconciliation
/Wraparound Previous Years(c2)
$
Collection of Other Payments: P4P, Risk Pools, etc.(c3)
$
Penalty/ Payback (c4)
$
Net Retros
$
Net Retros % of Charges Adjustments (d)
$
Adjustments % of Charges
1. Medicaid Non-Managed Care $38,282,799 $2,357,120 $2,907,416 $242,059 $43,305,276 27.21% $6,924,279 4.35%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $11,493 1.00%
2b. Medicaid Managed Care (fee-for-service) $73,223,778 $13,811,656 $10,529,844 $723,280 $96,841,998 32.92% $68,891,632 23.42%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $111,506,577 $16,168,776 $13,437,260 $965,339 $140,147,274 30.84% $75,827,404 16.68%
4. Medicare Non-Managed Care $534,746 $1,306,045 $1,250,329 $4,825 $3,086,295 2.29% $30,234,559 22.43%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $2,626,533 46.03%
5b. Medicare Managed Care (fee-for-service) $824,687 $239,426 $407,267 $36,550 $1,434,830 2.26% $19,189,977 30.20%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $1,359,433 $1,545,471 $1,657,596 $41,375 $4,521,125 2.22% $52,051,069 25.51%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $2,379 $679 $0 $0 $3,058 0.14% $640,989 29.14%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $0 $0 $0 $0 $0 0.00% $294,273 27.56%
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $0 $0 $0 $0 $0 $0
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $2,379 $679 $0 $0 $3,058 0.09% $935,262 28.63%
10. Private Non-Managed Care $3,852,391 $53,225 $3,799,166 1.81% $68,800,846 32.78%
11a. Private Managed Care (capitated) $67,302 $0 $67,302 4.22% $497,027 31.15%
11b. Private Managed Care (fee-for-service) $644,656 $4,260 $640,396 1.77% $9,423,812 26.02%
12. Total Private (Sum of Lines 10 + 11a + 11b) $4,564,349 $57,485 $4,506,864 1.82% $78,721,685 31.78%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $112,868,389 $17,714,926 $19,659,205 $1,064,199 $149,178,321 15.00% $207,535,420 20.87%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $37,606,037 $7,906,735

Footnotes

'-' Data cannot be calculated or has been suppressed for confidentiality purposes.

Cells that are shaded blue represent data that was not reported or null values.

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