Blue Cross Blue Shield of Michigan continues to dominate commercial enrollment outside of the exchange, and no consequential shifts in market share are expected for the state's powerful Blue plan. The Michigan exchange will see an average annualized rate drop of 2.5 percent for 2020. Nine insurers--the same nine that offered exchange plans in 2019--submitted rate filings for 2020 exchange plans. The managed Medicaid market had relatively flat enrollment in the most recent cycle compared with the prior year. Blue Cross Blue Shield of Michigan has formed a new holding company that will enter joint ventures with Blue plans in sister states to sell Medicare Advantage. The initiative comes at a time when Humana is making notable gains in the Michigan MA sector. The state is taking measures to battle the COVID-19 pandemic.

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