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H H S Department of Health and Human Services
Health Resources and Services Administration
Primary Care: The Health Center Program

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Patient Related Revenue

State Summary for Michigan for 2008

29 Grantees

Payor CategoryChargesCollections
Full Charges
This Period
(a)		% of Payor% of TotalAmount Collected
This Period
(b)		% of Payor% of Total% of Charges
1.Medicaid Non-Managed Care48,199,917 47.3% 19.7% 51,848,245 45.9% 28.1% 107.6% 
2a.Medicaid Managed Care (capitated)13,451,776 13.2% 5.5% 16,268,507 14.4% 8.8% 120.9% 
2b.Medicaid Managed Care (fee-for-service)40,196,669 39.5% 16.4% 44,725,322 39.6% 24.2% 111.3% 
3.Total Medicaid (Sum lines 1+2a+2b)101,848,362 100.0% 41.5% 112,842,074 100.0% 61.1% 110.8% 
4.Medicare Non-Managed Care28,076,345 91.2% 11.5% 22,052,686 93.8% 11.9% 78.5% 
5a.Medicare Managed Care (capitated)0 0.0% 0.0% 0 0.0% 0.0% - 
5b.Medicare Managed Care (fee-for-service)2,713,427 8.8% 1.1% 1,466,300 6.2% 0.8% 54.0% 
6.Total Medicare (Sum lines 4+5a+5b)30,789,772 100.0% 12.6% 23,518,986 100.0% 12.7% 76.4% 
7.Other Public including Non-Medicaid CHIP (Non Managed Care)2,448,534 92.3% 1.0% 1,260,151 100.0% 0.7% 51.5% 
8a.Other Public including Non-Medicaid CHIP (Managed Care Capitated)204,278 7.7% 0.1% 0 0.0% 0.0% 0.0% 
8b.Other Public including Non-Medicaid CHIP (Managed Care fee-for-service)0 0.0% 0.0% 0 0.0% 0.0% - 
9.Total Other Public (Sum lines 7+8a+8b)2,652,812 100.0% 1.1% 1,260,151 100.0% 0.7% 47.5% 
10.Private Non-Managed Care43,143,157 92.1% 17.6% 28,180,152 91.3% 15.3% 65.3% 
11a.Private Managed Care (Capitated)1,681,661 3.6% 0.7% 1,240,950 4.0% 0.7% 73.8% 
11b.Private Managed Care (fee-for-service)2,003,220 4.3% 0.8% 1,441,288 4.7% 0.8% 71.9% 
12.Total Private (Sum lines 10+11a+11b)46,828,038 100.0% 19.1% 30,862,390 100.0% 16.7% 65.9% 
13.Self Pay63,033,630 100.0% 25.7% 16,190,974 100.0% 8.8% 25.7% 
14.Grand Total (Sum lines 3+6+9+12+13)245,152,614  100.0% 184,674,575  100.0% 75.3% 


Payor CategoryRetroactive Settlements, Receipts, and Paybacks (c)Allowances
Collection of
recon./wrap
around Current
Year
(c1)		Collection of
recon./wrap
around
Previous Years
(c2)		Collection of
other
retroactive
payments
(c3)		Penalty/
Payback
(c4)		Net RetrosNet Retros
% of
Charges		Allowances
(d)		Allowances
% of
Charges
1.Medicaid Non-Managed Care24,281,035 6,792,882  5,018 31,068,899 64.5% -5,258,237 -10.9% 
2a.Medicaid Managed Care (capitated)7,627,695 2,427,403 191,210 0 10,246,308 76.2% -2,697,368 -20.1% 
2b.Medicaid Managed Care (fee-for-service)21,426,999 5,046,776 664,556 1,125 27,137,206 67.5% -2,981,746 -7.4% 
3.Total Medicaid (Sum lines 1+2a+2b)53,335,729 14,267,061 855,766 6,143 68,452,413 67.2% -10,937,351 -10.7% 
4.Medicare Non-Managed Care192,933 582,859  3,700 772,092 2.7% 7,920,408 28.2% 
5a.Medicare Managed Care (capitated)0 0 0 0 0 - 0 - 
5b.Medicare Managed Care (fee-for-service)0 45,725 11,807 0 57,532 2.1% 1,084,645 40.0% 
6.Total Medicare (Sum lines 4+5a+5b)192,933 628,584 11,807 3,700 829,624 2.7% 9,005,053 29.2% 
7.Other Public including Non-Medicaid CHIP (Non Managed Care)   0 0 0.0% 981,044 40.1% 
8a.Other Public including Non-Medicaid CHIP (Managed Care Capitated)  0 0 0 0.0% 192,476 94.2% 
8b.Other Public including Non-Medicaid CHIP (Managed Care fee-for-service)  0 0 0 - 0 - 
9.Total Other Public (Sum lines 7+8a+8b)  0 0 0 0.0% 1,173,520 44.2% 


Payor CategoryRetroactive Settlements, Receipts, and Paybacks (c)Allowances
Collection of
recon./wrap
around Current
Year
(c1)		Collection of
recon./wrap
around
Previous Years
(c2)		Collection of
other
retroactive
payments
(c3)		Penalty/
Payback
(c4)		Net RetrosNet Retros
% of
Charges		Allowances
(d)		Allowances
% of
Charges
10.Private Non-Managed Care   0 0 0.0% 12,561,607 29.1% 
11a.Private Managed Care (Capitated)  11,972 0 11,972 0.7% 448,931 26.7% 
11b.Private Managed Care (fee-for-service)  55,021 0 55,021 2.7% 712,971 35.6% 
12.Total Private (Sum lines 10+11a+11b)  66,993 0 66,993 0.1% 13,723,509 29.3% 
13.Self Pay        
14.Grand Total (Sum lines 3+6+9+12+13)53,528,662 14,895,645 934,566 9,843 69,349,030 28.3% 12,964,731 5.3% 


13. Self PaySliding Discounts (e)Bad Debt Write Off (f)
38,093,170 3,886,270 

Percents may not equal 100% due to rounding