FINGERTIP REPORT: A -  PIHP MEDICAID COST SUMMARY
Period: 10/1/2004 - 9/30/2005
During Fiscal Year 2005 (October 1, 2004 -September 30, 2005) PIHP Mental Health/Developmental Disabilities Medicaid revenues totaled $1,426,220,154.  Medicaid spending on services and administration totaled $1,429,710,805. Approximately eight percent of the revenue ($112,091,589) was spent on administrative costs (calculated based on costing principles established by the Encounter Data Integrity Team, see Establishing Managed Care Administrative Costs).  The average Medicaid total cost per consumer was $11,358 and the average administrative cost was $891 per consumer.
      Medicaid MH/DD Total Expenditures  Medicaid Managed Care MH/DD
Administration Expenditures
     
PIHP Medicaid Revenue
MH/DD
Total
MH/DD
Medicaid Cases
Amount1 $$/
Consumer
Amount Percent of Total Medicaid Revenue $$/
Consumer
Savings at
Year End
Internal Services Fund (ISF)2  Lapse 
Access Alliance  $       58,599,645 6,737  $        57,605,812  $             8,551  $      2,984,315 5.09%  $           443  $       1,832,825  $        4,461,112  
CMH Affiliation of Mid-Michigan  $       77,875,987 7,460  $        77,093,102  $           10,334  $      5,732,689 7.36%  $           768  $       2,764,975  $        1,740,301  
CMH for Central Michigan  $       48,846,068 5,254  $        49,719,532  $             9,463  $      3,976,880 8.14%  $           757  $            43,155  $           904,478  
Detroit-Wayne  $     340,573,031 29,886  $     327,160,014  $           10,947  $    38,097,317 11.19%  $        1,275  $    14,552,294  $      25,548,537  
Genesee  $       69,928,922 5,747  $        69,577,436  $           12,107  $      4,789,224 6.85%  $           833  $       2,046,612  $        4,134,381  
Lakeshore Affiliation  $       50,111,531 4,839  $        50,445,167  $           10,425  $      3,401,969 6.79%  $           703  $       1,887,944  $        3,624,497  
Lifeways  $       28,330,951 2,949  $        29,664,529  $           10,059  $      2,838,323 10.02%  $           962  $          133,056  $        1,658,036  
Macomb  $       97,883,085 6,183  $     101,755,804  $           16,457  $      6,943,811 7.09%  $        1,123  $                        -  $                         -  
network180  $       64,250,942 7,448  $        63,762,546  $             8,561  $      4,882,733 7.60%  $           656  $                        -  $        1,365,389  
North Care  $       64,328,795 5,131  $        63,559,514  $           12,387  $      2,868,634 4.46%  $           559  $          171,856  $           763,086  
North Country  $       46,887,877 5,031  $        45,616,110  $             9,067  $      2,954,285 6.30%  $           587  $            17,568  $        2,420,786  
Northern Lakes  $       34,002,467 5,065  $        36,335,184  $             7,174  $      2,345,104 6.90%  $           463  $                        -  $        2,164,288  
Oakland  $     158,398,688 8,489  $     172,488,428  $           20,319  $    10,179,924 6.43%  $        1,199  $                        -  $        3,406,503  
Saginaw  $       31,234,055 2,802  $        31,480,764  $           11,235  $      2,654,548 8.50%  $           947  $          846,278  $        1,492,999  
Southeast Partnership  $       76,070,627 5,461  $        76,901,503  $           14,082  $      4,991,488 6.56%  $           914  $       2,522,009  $        1,366,280  
Southwest Affiliation  $       65,502,679 6,019  $        65,812,970  $           10,934  $      4,687,475 7.16%  $           779  $                        -  $        2,554,386  
Thumb Alliance3  $       56,290,974 3,762  $        53,067,175  $           14,106  $      4,579,161 8.13%  $        1,217  $       4,252,332  $        4,274,322  $  1,404,256
Venture  $       57,103,830 7,611  $        57,665,215  $             7,577  $      3,183,709 5.58%  $           418  $       1,915,762  $        4,284,725  
State Total  $  1,426,220,154 125,874  $  1,429,710,805  $           11,358  $  112,091,589 7.86%  $           891  $    32,986,666  $      66,092,815  $  1,404,256
Report produced by: MDCH, Mental Health and Substance Abuse Administration, Performance Measurement Section
   
  Source data: Total Medicaid MH/DD Service Expenditures, Total Medicaid Managed Care MH/DD Admin, and Total Cases are taken from the FY 2005 Medicaid Utilization and Net Cost (MUNC) Reports. Revenue, Savings, ISF and lapse taken from FY05 financial status report (FSR) and contract reconciliation cost settlement as reported in the FSR subject to the review of MDCH accounting FY06. 
  File: G:\QMP\Fingertip Reports\Fingertip_Report_August 2007.xls
Data extract date: Data from MUNC updated 6/21/ 2006.  Data from FSR dated 2/4/2007.
  Report Date: 2/21/2007
Notes/Comments: 1Medicaid MH/DD Total Expenditures excludes General Fund expenditures used for spend-down.
2The balances for the Internal Services Funds have been calculated following any settlement for cost overruns.
3During FY05, Thumb Alliance had a lapse of $1,404,256