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U.S. News and World Report cites Marianne Udow-Phillips in article about Joe Biden’s health care platform

Image of Joe Biden

Image of Joe Biden

In a U.S. News and World Report article, If Elected, Joe Biden Has Big Plans for Health Care, Dennis Thompson extensively cites Marianne Udow-Phillips, who was interviewed by HealthDay’s Mabel Jong on the topic. The article, written just days after the 2020 presidential election, highlights Joe Biden’s proposed Affordable Care Act improvements, including expanding eligibility.

Udow-Phillips says, “Joe Biden was squarely in the camp of building on the Affordable Care Act,” in efforts to make health care more affordable. She also says that “Biden has proposed redefining affordable health care to be no more than 8.5 percent of a family’s income,” as opposed to 9.5 percent. Biden would also create a public option available “even for individuals who have employer coverage.”

The article emphasizes that these proposals could face challenges should Republicans maintain control of the Senate. Biden’s proposals are “expensive and it’s unlikely to see them getting through a Senate that continues to be controlled by Republicans,” says Brian Blase, an advisor to President Trump, who was also cited in the piece. Udow-Phillips remains hopeful, however, that Biden will be able to implement things that could improve the ACA’s accessibility and effectiveness.  

In addition to the Affordable Care Act, an assertive COVID-19 response is central to Biden’s health care plan. Udow-Phillips expects Biden to “tackle the coronavirus with a science-based approach” by relying more on the CDC and public health officials such as Dr. Fauci. Udow-Phillips also speaks to the need for a second stimulus package and additional funding as private physicians, academic medical centers, and nursing homes face COVID-19 related financial challenges. 

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In Mlive, Marianne Udow-Phillips says the biggest impact of the ACA on Michiganders’ lives is increased insurance coverage

Illustration of Medicaid

Illustration of Medicaid

In the MLive article, Obamacare case before Supreme Court today has huge implications for Michigan residents, experts say, Julie Mack highlights the impact of the ACA on Michiganders and what could happen if the ACA was repealed following a Supreme Court decision.

Healthy Michigan, the state’s Medicaid expansion program, has covered “14 percent of the state’s population age 19 to 64” reports Mack. And other Michigan residents have benefited from the ACA through subsidies and the Health Insurance Marketplace. Furthermore, residents benefit from the ACA’s policy of prohibiting insurance companies from denying coverage to those with pre-existing conditions.

Mack interviews Marianne Udow-Phillips, who says “no question, the number of people who have gained insurance coverage under Obamacare is the biggest impact of the law.” Udow-Phillips also emphasizes how integrated the ACA is in our everyday lives. For example, says Udow-Phillips, the ACA is the reason restaurants publish calorie counts on their menus and women have a place at work to breastfeed. 

Amidst the COVID-19 pandemic, there has been an influx of people losing their jobs, and subsequently, there has been a jump in enrollment in Healthy Michigan. While purchasing insurance on the Health Insurance Marketplace can be expensive, the ACA has been “very impactful and it’s been a net positive” said Jeff Rombeck, deputy director of policy and planning for the Michigan Association of Health Plans

However, all of these benefits created by the ACA are “at stake in a case now before the U.S. Supreme Court,” Mack writes. The case, which was brought by numerous state attorneys general and “backed by the Trump Administration” calls into question the ACA’s constitutionality. The Supreme Court began hearing arguments on November 10th, however, a final decision is not expected until the spring. 

Mack also interviews Michigan Senator Debbie Stabenow who states she is “very, very concerned” about the future of the ACA and “is convinced overturning the ACA would throw the health-care system into chaos.”

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Detroit Today discusses health care and the 2020 election with guests, Marianne Udow-Phillips and Yasmeen Abutaleb

Healthcare reform political debate has centered on the Affordable Care Act (ACA) since it was passed in 2010 by the Obama administration. Republicans in Congress and President Trump have been threatening to repeal the ACA for the last four years, putting the law in danger.

In an October podcast, “In 2020, Healthcare is Top of Mind for Most Voters,” Detroit Today host Stephen Henderson interviews Marianne Udow-Phillips about healthcare and the 2020 presidential election.

“Health care is second only to the economy when it comes to issues that will influence Americans’ vote in November,” says Henderson. Both the 2020 presidential election and the COVID-19 pandemic have reminded voters that the “affordability of health care is fundamental,” said Udow-Phillips.

Udow-Phillip and another special guest, Yasmeen Abutaleb, a national healthcare reporter for The Washington Post, discuss how the health care plans of President Donald Trump and presidential hopeful Joe Biden differ.

Udow-Phillips said that the research conducted by CHRT shows that, “the changes by the Trump administration have meant that more people are uninsured in Michigan today than they were at the start of the Trump Administration.”

The future Supreme Court case set to be heard on November 10th about the constitutionality of the Affordable Care Act was also discussed. Without a plan to replace the ACA, there would be big impacts on Michigan, Udow-Phillips says. 

The podcast also interviews citizens who receive health care through Medicaid. 

LISTEN TO THE PODCAST

Detroit Free Press speaks with Udow-Phillips about COVID-19 response, other major health concerns

Image of two women wearing a mask

Image of two women wearing a mask

In the Detroit Free Press article, Retiring Michigan health care expert: We would not have predicted  COVID-19 response, reporter JC Reindl interviewed Marianne Udow-Phillips, CHRT’s founding executive director, about how health care has evolved through her career, to discuss various health care concerns, CHRT’s role in Michigan’s COVID-19 response, and CHRT’s role in Michigan’s decision to expand Medicaid through the Healthy Michigan Plan.

Marianne Udow-Phillips, who has been at CHRT since its founding in 2006 but will step down from the role at the end of the calendar year, “has influenced decision-makers across the state, including governors of both parties,” Reindl writes. 

In the Q&A, Udow-Phillips describes surveys CHRT conducted to analyze the capacity of Michigan’s health care providers to treat an influx of Medicaid patients should the state expand Medicaid. CHRT found that “81 percent said they would be willing to take Medicaid patients,” Udow-Phillips told Reindl. This finding was communicated to Michigan Governor Rick Synder and influenced the state’s decision to expand Medicaid, which has resulted in hundreds of thousands of Michigander’s receiving health care coverage. 

More recently, CHRT and Udow-Phillips provided an analysis of Michigan’s COVID-19 response. Specifically, CHRT studied Michigan’s policy of placing COVID-19 patients in nursing home hubs on release from hospital care. CHRT found that “Michigan overall had a lower percentage of deaths in nursing homes than the national average, and that the hub facilities, which the state set up, performed quite a bit better, in terms of death rate, than the non-hub nursing homes.”

Udow-Phillips also addressed CHRT’s analysis of single-payer health care, the Affordable Care Act, and her future plans as a University of Michigan lecturer and senior advisor to CHRT. 

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HealthDay interviews Marianne Udow-Phillips about prognosis for health care in America following a Biden victory

Biden and Trump Sign

Biden and Trump SignOn November 4, 2020, while votes were still being tabulated in states across the country, HealthDay’s Mabel Jong interviewed Marianne Udow-Phillips, founding executive director of CHRT, about the future of health care in America if Biden were to win the electoral college. Biden and Trump have drastically different health care plans, and insurance coverage continues to be a critical topic for voters. Udow-Phillips and Brian Blase, an advisor to President Trump, discuss the implications of the election outcome. 

Udow-Phillips states that Biden plans to build on the Affordable Care Act by expanding eligibility for subsidies and to lower the Medicare eligibility age to 60. Biden also has a plan for creating a “public option” for health insurance, says Udow-Phillips in the interview. And Biden has plans to make Affordable Care Act coverage more accessible by, for example, expanding the annual open enrollment period, which was reduced to a six-week period under the Trump Administration. Udow-Phillips also speaks about similiarities in Biden and Trump’s plans to lower prescription drug costs.   

Jong questions Udow-Phillips about her predictions regarding the COVID-19 pandemic if Biden takes office. Udow-Phillips talks of Biden’s plan to create a mask-mandate, strengthen the role of public health officials such as Dr. Fauci and other epidemiologists, and provide a second stimulus and more financial support for the health care system. 

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Marianne Udow-Phillips discusses the impact and future of the ACA during 10th anniversary panel

ACA document

ACA document

During a virtual panel in October 2020 moderated by John Z. Ayanian, the director of the University of Michigan’s Institute for Healthcare Policy and Innovation (IHPI), and Dr. Howard Markel, the director of the University of Michigan’s Center for the History of Medicine, Marianne Udow-Phillips discussed the impact and future of the ACA. 

The panel, which also included John McDonough of the Harvard T. H. Chan School of Public Health, Jonathan Cohn who covers the ACA for the Huffington Post, and Gail Wilensky, a health economist and senior fellow at Project Hope, an international health foundation that supports health workers worldwide, was scheduled to mark the occasion of the 10th anniversary of the ACA. 

The panelists first addressed what changes they would suggest for the ACA. Udow-Phillips highlighted shortcomings of the ACA including the high out-of-pocket costs for health care for many individuals, especially those at or above 400 percent of the federal poverty level. Her suggestion was to increase government funding for health care in order to lower the cost of care. Additionally, Udow-Phillips stressed the importance and value of Medicaid as well as similarities between the individual marketplace and the Medicaid marketplace such as rates, silver-loading, and techniques of managing care. 

Udow-Phillips said she was most surprised by the “degree of politicization to the Public Health and Prevention Fund” of the ACA. She emphasized the need to increase funding for public health, which is currently only 3 percent of the nation’s healthcare expenditures. This issue was only exacerbated by COVID-19, and Udow-Phillips said public health funding “needs to be fixed” moving forward.

The ACA, which was enacted by Congress and signed into law by President Barack Obama, was brought to the Supreme Court for the 3rd time on November 10, 2020. A key piece of the ACA, the individual mandate, was previously upheld by the Supreme Court, however, the Trump administration lowered the individual mandate to an amount of $0. This change gives the Supreme Court grounds to reanalyze the constitutionality of the ACA. Udow-Phillips says she would not expect the “Supreme Court to rule the whole ACA is unconstitutional.”

The panel also considers the future of health care in America; Udow-Phillips expects that our nation will slowly move away from employer-based health insurance over time. Other topics discussed included pre-existing conditions, the relationship between health insurance and small businesses, and the ACA’s impact on children. 

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Center for Health and Research Transformation names Terrisca Des Jardins as incoming executive director

Photo of Terrisca Des Jardins

Photo of Terrisca Des JardinsTerrisca Des Jardins, MHSA, currently the chief operating officer for the Physician Organization of Michigan ACO (POM ACO), has been selected to become the next executive director of the Center for Health and Research Transformation (CHRT), an independent nonprofit at the University of Michigan. Marianne Udow-Phillips, the founding executive director of CHRT, will retire at the end of the calendar year, allowing for seamless transition planning as Des Jardins will begin her appointment on October 1st.

“Des Jardins is an accomplished health administrator–one who has worked with teams to produce very positive results for the organizations she has served–and has proven leadership in building coalitions and improving health outcomes,” says Tony Denton, CHRT board chair and senior vice president and chief operating officer of the University of Michigan Health System – Michigan Medicine.

“Des Jardins brings significant expertise in collaborating with diverse stakeholders to meet common objectives while improving outcomes for underserved populations, government and nonprofit entities, and communities,” says Denton. “The Board of Directors and I believe that her leadership, collaborative approach to solving complex issues, creative spirit, and cross-disciplinary experience are important traits that will help advance CHRT’s legacy of providing evidence-based information to inform health policies and trends that improve population health across communities.”

As chief operating officer of POM ACO, an accountable care organization with 4,500 Michigan providers who participate in the Medicare Shared Savings Program, Terrisca Des Jardins’ efforts have helped achieve tens of millions of dollars in savings for the federal government, taxpayers, and the ACO, while improving the quality of care for Medicare enrollees.

Des Jardins also developed and implemented nationally-recognized engagement opportunities at POM ACO, establishing an advisory committee of Michigan Medicare beneficiaries who provided input to the U.S. Centers for Medicare and Medicaid services on a number of policy and operational concerns, including how to tackle social isolation and loneliness in the Medicare population.

“I’ve always been an admirer of CHRT’s policy work, research, and innovative demonstration projects and the holistic way CHRT works to advance the health of communities,” says Des Jardins. “I look forward to building on that legacy through cross-disciplinary and cross-stakeholder collaborations, and finding the best ways to do that in these challenging times.”

Marianne Udow-Phillips served as director of Michigan’s Department of Human Services under the Granholm Administration and as a senior executive at Blue Cross Blue Shield of Michigan for over 20 years before becoming the founding executive director of CHRT in 2007. She will continue to serve as an advisor to CHRT and support the success of a number of current projects after she retires from the executive director role at the end of December.

“We are deeply grateful to Marianne, as she has led the implementation of CHRT’s mission, vision and values, leading to sustained success,” says Denton. “Her leadership and vision to advance non-partisan, evidence-based policy and assure access to care for all, improve population health, and advance social justice have had an enormous impact in Michigan and beyond.”

CHRT’s 2019 impact report highlights the organization’s local, state, and national work to inspire evidence-informed policies and practices that improve the health of people and communities.

Also see CHRT’s impact report for the Washtenaw Health Initiative (WHI), a voluntary collaborative sponsored by Michigan Medicine and the St. Joseph Mercy Health System to improve health, health equity, and health care for Washtenaw County residents, with a special focus on the county’s low-income, uninsured, and underinsured populations.

 

CHRT on WJR’s Guy Gordon Show: Findings from a study of Michigan’s COVID-19 nursing home policy  

Image of an old car radio

Image of an old car radioDuring the September 9 Guy Gordon Show on WJR Radio, CHRT Founding Executive Director Marianne Udow-Phillips shared findings from the new CHRT report, Keeping nursing home residents safe and advancing health in light of COVID-19

In his introduction, Gordon recognizes CHRT’s emphasis on evidence-based findings in the report. “There’s a new study by the Center for Health and Research Transformation that took a very analytical approach to data,” Gordon noted.

Gordon was also interested in legislative concern about the state’s early policy of sending some recovered COVID-19 patients back to nursing homes, and whether that practice had then contributed to the spread of COVID-19 among non-hospitalized nursing home residents.  “We don’t have any evidence right now in the data we’ve looked at that there in fact was spread within nursing homes themselves,” said Udow-Phillips.

Udow-Phillips went on to point out that the CHRT report did find room for improvement. “We think the whole system can be made better, certainly in Michigan and nationally as well, and we’ve made 50 recommendations going forward for things that we think can be improved.”

The research emphasizes the necessity for continuing support and monitoring, in order to give nursing facilities the tools they need to effectively manage the pandemic. It also suggests that while creating regulations and processes for monitoring visitors, staffing, and PPE in nursing homes, the state should take into account the experiences of other states.

LISTEN TO THE ENTIRE WJR RADIO CONVERSATION HERE

Michigan Advance features CHRT interim report on Michigan’s COVID-19 nursing home hub strategy

Image of magnifying glass and a graph report

Image of magnifying glass and a graph reportIn Michigan’s handling of COVID-19 in nursing homes fares better than national average, Michigan Advance writer Allison Donahue covers a recent CHRT study which found that the state is reporting fewer COVID-19-related deaths in nursing homes than the national average and that the state’s “hub” strategy has been effective.

The CHRT report  — Keeping nursing home residents safe and advancing health in light of COVID-19 — was written after extensive data analysis, a comprehensive exploration of peer-reviewed literature, and numerous interviews with national policy experts, state administrators, and nursing home leaders, along with hospital and clinical leaders.

Donahue notes that “Michigan’s handling of the COVID-19 crisis in nursing homes has been under scrutiny from the GOP-led Legislature. The U.S. Department of Justice (DOJ) requested that Gov. Gretchen Whitmer submit data related to nursing homes and COVID-19 deaths last month along with other Democratic governors.”

The article goes on to point out that at the press conference detailing CHRT’s summary report, Michigan Department of Health and Human Services Director Robert Gordon said “If you look at the evidence together, it says the opposite of the criticisms.”

According to CHRT’s analysis, the percentage of deaths among nursing home residents with COVID-19 was considerably lower in Michigan’s nursing home hubs than in the state’s non-hub nursing homes — 17.4%  in hubs compared to 26% in non-hubs.

READ THE ENTIRE MICHIGAN ADVANCE ARTICLE HERE

In Crain’s Detroit: CHRT’s examination of Michigan’s nursing home hub strategy in response to the COVID-19 crisis

Image of connections

Image of connectionsIn a September 8 article Report: Smaller percentage of nursing home residents died of COVID-19 in Michigan than national average, Crain’s healthcare writer Jay Greene talks with CHRT Founding Executive Director Marianne Udow-Phillips about CHRT’s examination of the state of Michigan’s nursing home hub strategy in response to the COVID-19 crisis.

“We collectively believe that the state’s strategy was appropriate when taken during the peak of the surge to establish nursing home hubs and transfer patients from hospitals (when patients) were no longer in need of hospital-level care,” Udow-Phillips tells Crains.

Greene also notes that the CHRT report — funded by the Michigan Health Endowment Fund – was the product of data analysis and numerous interviews with national policy experts, state administrators, and nursing home leaders, along with hospital and clinical leaders to identify best practices.

The article goes on to point out that the CHRT report also focuses on improvements going forward. 

“Overall, CHRT issued 50 recommendations for improvement, covering structural, process, access, and operational improvements, to help Michigan and other states prepare long-term care facilities, including nursing homes, for a potential resurgence.”

The report emphasizes the significance of communication and cooperation between nursing facilities, state agencies, and public health officials as well as the necessity of proper staffing, testing, and personal protective equipment. The report also emphasizes the need to prioritize the mental health and social needs of nursing home residents during the pandemic. 

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