Blue Cross Blue Shield of Michigan continues to dominate commercial enrollment outside of the exchange. Although COVID-19 did impact the payer mix in the state, no consequential shifts in market share are expected for the state's powerful Blue plan. But rivals Priority Health and Health Alliance Plan are jockeying for position by expanding their networks. The Michigan exchange will see an average annualized rate hike of 1.1 percent for 2021. Nine insurers--the same nine that offered exchange plans in 2020--submitted rate filings for 2021 exchange plans. With the onset of the COVID-19 pandemic, the managed Medicaid market witnessed growth in enrollment in the most recent cycle compared with the prior year. The MA market also has more plans with no annual drug deductible compared with 2020. In addition, many Medicare Advantage plans are participating in the Part D Senior Savings Model for 2021, which offers insulin at no more than a $35 monthly copay while some plans are covering end-stage renal disease (ESRD). The state is currently engaged in vaccination distribution and administration across the state to battle the COVID-19 pandemic.

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