| 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 | |||||||||||