- The Healthy Michigan Plan will provide coverage for 477,000 low-income Michiganders, most working but earning less than $15,000 a year.
- Under Healthy Michigan, there are no co-pays for preventive services, designated high-value drugs, and perhaps other high value services.
- Beneficiaries will be enrolled in health savings account-like plans, where an account is used for pay for a portion of services (excluding preventive care services) up to a certain amount, after which Medicaid health plans cover the cost of services.
- Healthy Michigan will require those covered to share in the costs through premiums and provide incentives for them to take responsibility for their lifestyle choices and to maintain or improve their health.
- Michigan’s hospitals bear more than $800 million in uncompensated costs every year due to the cost of caring for the uninsured, which are passed along to individuals and businesses through higher healthcare premiums. Healthy Michigan will help alleviate hundreds of millions of dollars in those costs annually.
- Michigan small business will have a healthier and more productive workforce, which will help Michigan’s economic development by attracting more businesses to come to Michigan to grow and expand.
- Healthy Michigan also will save money for Michigan taxpayers. Hundreds of millions of dollars are expected to be saved over the next few years by harnessing federal dollars that would likely otherwise go to other states to pay for services now provided with state funds.
- Healthy Michigan uses funds made available through the Affordable Care Act to create a unique, Michigan-specific plan. For the first three years of Healthy Michigan, the federal government covers 100 percent of the cost, with varying percentages from 95 percent to 93 percent in subsequent years before ultimately covering 90 percent starting in 2020 and beyond.
- The state has added protections for when the federal funding is less than 100 percent. We’ll look at the state savings, and if they aren’t enough to cover the state’s share, adjust or discontinue the program.
- Michigan is pursuing federal approval for the Healthy Michigan Plan. With approval, the anticipated date that this program will begin is April 1, 2014.