Michigan’s health care spending has been growing at a slower pace than the national average for more than a decade says a new CHRT study. Michigan spends less per capita on personal health care than the national average, ranking 36th among the 50 states and District of Columbia in 2004 (the most recent year for which state-level data were available), and has one of the lowest rates of Medicaid payments to physicians in the country, ranking 44th on the 2008 Medicaid to Medicare physician fee index.