News

Consumer Reports, The Washington Post: Hearing aids might reduce dementia risk says research by Elham Mahmoudi, a 2019 Health Policy Fellow

“The new study also suggests using hearing aids might help delay the onset of dementia in some people, and it’s the largest study to date to look at this possible connection.” CHRT Health Policy Fellow Dr. Elham Mahmoudi Research by Elham Mahmoudi, a 2019 CHRT Health Policy Fellow, is cited in “Research into the health effects of hearing loss suggests …

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How to fund community health workers: Lapedis in New England Journal of Medicine

In Realizing the value of community health workers–new opportunities for sustainable financing, a New England Journal of Medicine Perspectives piece, CHRT’s SIM Project Manager Jeremy Lapedis and colleagues from Poverty Solutions and the Institute for Healthcare Policy and Innovation describe new mechanisms for financing community health workers far into the future. “CHW-led interventions have been shown to be both effective …

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From Healthcare to Health: Our 2018 Annual Report

(Download our 2018 Annual Report) Every day, CHRT works with a dozen community partners, health systems, and health plans to address the social determinants of health in Livingston and Washtenaw Counties. How? By applying and testing evidence-based best practices; by working to integrate health care and social services; and by fostering a culture of continuous improvement. Our 2018 annual report, …

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Advance Care Planning: Tying a Community Perspective to the National Conversation

Advance care planning (ACP) is a process where people talk with family members and doctors about their end-of-life care preferences and designate someone to carry out their wishes. ACP helps people plan for future medical treatment in the event of a serious illness. Controversies associated with ACP—perhaps most famously the accusations of “death panels” that demonized the Affordable Care Act—have …

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Affordable Care Act Funding: An Analysis of Grant Programs under Health Care Reform – FY2010-FY2015

As part of the Patient Protection and Affordable Care Act (ACA), which was signed into law on March 23, 2010, Congress appropriated funds to expand access to care, implement private insurance reforms, and enhance public health infrastructure. The ACA provided for both annual appropriations and multiple-year appropriations. Many ACA funds ended in fiscal year (FY) 2014 or FY2015, including all …

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Acute Care Readmission Reduction Initiatives: An Update on Major Programs in Michigan

Inpatient hospitalizations account for 32 percent of the total $2.9 trillion spent on health care in the United States.(1)U.S. Centers for Medicare & Medicaid Services. 2013. National Health Expenditures. In the majority of cases, it is necessary and appropriate to admit a patient to the hospital. However, patients returning to the hospital soon (e.g., within 30 days) after their …

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References   [ + ]

1. U.S. Centers for Medicare & Medicaid Services. 2013. National Health Expenditures.

Price Transparency: Background and Research

In recent years, consumers have assumed an increasing share of health care spending through high deductible plans. For example, the average deductible for family coverage in Michigan more than doubled from 2002 to 2012, rising from $810 to $1,877, respectively. Deductibles for individual coverage in Michigan grew by 162 percent over the same period of time, increasing from $375 to …

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Tale of Three Cities

A Tale of Three Cities: Hospital and Health System Costs in the Midwest

      There is tremendous variation in health care spending by geographic region in the United States.(1)R.M. Henke et al. 2011. Geographic Variation: A View From the Hospital Sector. Medical Care Research and Review, 68(6): 699-711. To better understand this variation, CHRT analyzed health care markets, state-level regulation, and hospital cost variation in three Midwestern states, focusing on the …

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References   [ + ]

1. R.M. Henke et al. 2011. Geographic Variation: A View From the Hospital Sector. Medical Care Research and Review, 68(6): 699-711.

The Impact of the Affordable Care Act in Michigan

Since becoming law on March 23, 2010, the Affordable Care Act (ACA) has significantly affected how health care is purchased, accessed and delivered. The law has made broad changes to the health care landscape, which has had an impact on consumers, health insurers and health care providers in interconnected yet unique ways. Covering the first year of expanded health insurance …

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Affordable Care Act Funding: An Analysis of Grant Programs under Health Care Reform – FY2010-FY2014

The Patient Protection and Affordable Care Act (ACA) was signed into law on March 23, 2010, and funds were appropriated to expand access to care, implement broad private insurance reforms, and enhance the public health infrastructure. In order to administer these new grant programs, the ACA created a number of new funding sources in the following categories:[footnote]C.S. Redhead. October 10, …

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