On June 28, 2019, the Michigan Department of Health and Human Services (MDHHS) said it would cancel its pre-paid inpatient health plan (PIHP) contract with the Lakeshore Regional Entity (LRE) as of September 30, 2019. LRE is the PIHP for Allegan, Kent, Lake, Mason, Muskegon, Oceana, and Ottawa counties. MDHHS intends to keep the region intact, and will initiate temporary state management when the contract with LRE ends. MDHHS intends to establish a new PIHP in the region via a formal procurement process for fiscal year 2021; the estimated contract value is about $250 million. For fiscal year 2020 . . .