Healthcare Analytics for Michigan Hospitals and Clinics

Michigan's 135+ acute care hospitals operate in a market defined by two mergers that reshaped the competitive landscape: Beaumont Health and Spectrum Health merged to form Corewell Health (now the largest health system in Michigan), and Sparrow Health System became part of University of Michigan Health. These consolidations created multi-facility systems with analytics complexity that smaller legacy IT infrastructures were not designed to handle. Meanwhile, Henry Ford Health System, Detroit Medical Center (Tenet), and McLaren Health Care serve markets with significant urban health disparities — Detroit has among the worst health outcomes of any major US city across infant mortality, diabetes prevalence, and cardiovascular disease burden.

Michigan's Medicaid expansion through the Healthy Michigan Plan has been among the most successful in the country, covering 700,000+ adults and generating measurable improvements in chronic disease management metrics. Yet the Flint water crisis — which contaminated the city's water supply with lead from 2014-2019 — has created a long-tail public health challenge: children exposed to lead during critical developmental windows are now entering adolescence and young adulthood with elevated rates of cognitive, behavioral, and neurological conditions that generate healthcare utilization. Michigan health systems serving Genesee County and surrounding regions need analytics that can identify and manage this emerging population health burden before it peaks.

Michigan Medicaid — administered by MDHHS — operates through the Healthy Michigan Plan for expansion adults and Medicaid for traditional eligibility categories. Managed care organizations including Molina Healthcare of Michigan, McLaren Health Plan, Priority Health (Spectrum/Corewell), UnitedHealthcare, and HAP (Henry Ford Allegiance) administer managed care benefits and impose HEDIS reporting requirements on contracted providers. Michigan uses a Prepaid Inpatient Health Plan (PIHP) model for behavioral health — separate from physical health MCOs — creating a split reporting environment that hospitals providing both services must navigate.

Michigan hospitals submit encounter data through MDHHS and participate in the Michigan Health & Hospital Association's Keystone Center quality improvement programs, which feed state public reporting. MDHHS Healthy Michigan Plan reporting requirements include member health risk assessment completion rates, care management enrollment metrics, and HEDIS preventive care measures. CMS MIPS, HRRP, and HVBP programs add federal quality reporting obligations that must be managed concurrently with state Medicaid requirements.