News

Report: Michigan could save nearly $1 billion over 10 years by expanding Medicaid eligibility

A report released today by the Center for Healthcare Research & Transformation (CHRT) in partnership with two economists at the University of Michigan shows that the State of Michigan could save nearly $1 billion over 10 years—while extending comprehensive health insurance to more than 600,000 Michigan citizens—if the state expands Medicaid eligibility beginning in 2014 as provided for under the …

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It’s the Math: The Medicaid Expansion in Michigan

In many respects, the Affordable Care Act is a law about health care coverage. It is designed to expand coverage, mostly by using two tools: (1) the requirement for individuals to have/purchase health coverage or face tax penalties (known as the individual mandate), and (2) the expansion of Medicaid eligibility to all with incomes at or below 138 percent of …

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Asking the right question about “two-tiered” care

When we think of two-tiered care in America, we most often think of the “haves” and “have nots”: those who are covered by health insurance and those who are not. But there is a different way to look at this question, and it may take being outside the U.S. to see it that way. Going back through old issues of …

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Road sign reading Affordable Care Act, and featuring an arrow

Report: Initial grant funding from Affordable Care Act went toward building workforce, health centers and other efforts to increase access to care

The Center for Healthcare Research & Transformation (CHRT) today released an issue brief showing that through the end of the 2011 federal fiscal year, Michigan organizations have received more than $82.5 million in grant funding under the Patient Protection and Affordable Care Act (ACA), placing Michigan among the top 15 states. The majority of the funding was targeted to workforce …

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Funding Priorities in the ACA

Much of the discussion and press coverage of the Affordable Care Act (ACA) has been focused on provisions related to the expansion of coverage: the individual mandate, the Medicaid expansion, and to a lesser degree, health insurance exchanges. These provisions don’t go into effect until 2014. Other important parts of the ACA are already in place, and already making a …

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A Caveat on the Cheesecake Factory and Health Care

Atul Gawande’s latest article in the New Yorker magazine is a hot trending story in health care. It even spawned an editorial in the Wall Street Journal that seemed oddly confused about what Gawande was advocating. In his article, Gawande talks about lessons learned from quality and cost control processes at a restaurant chain called The Cheesecake Factory, and argues …

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The Lesser Known Parts of the ACA and Medicaid

Since the Supreme Court ruling on the Affordable Care Act (ACA), the discussion about Medicaid has largely focused on a choice states now have: whether or not to expand coverage to those at or below 138 percent of poverty. This issue is extremely important because of the impact it could have on those who are uninsured today. However, there is …

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Health Reform on the Ground: The Case of Cheboygan Memorial

Debates about the Affordable Care Act continue—especially in this election year—but health reform is already happening all around us. All we need to do is look. Case in point: Cheboygan, Michigan, where the local hospital was closed suddenly at the beginning of April, and then resurrected—in a different form—in mid-May. Initial press reports about the closure left the impression that …

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Medicaid changes under the Affordable Care Act will simplify enrollment, reduce number of uninsured in Michigan

The Center for Healthcare Research & Transformation (CHRT) released a policy paper that shows how the Patient Protection and Affordable Care Act (ACA) in 2014 will streamline eligibility categories and may also help between 400,000 and 500,000 citizens to become newly eligible for Medicaid coverage. Currently, there are at least 40 different ways—each with varying eligibility requirements—to qualify for Medicaid …

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