News

Medicaid Expansion: Will it achieve its promise?

Many analyses of the impact of health reform focus on the large increase in expected Medicaid enrollment.  Indeed, our own analysis of potential Medicaid enrollment in Michigan showed as many as 452,000 people could be enrolled come 2014 (link to Cover Michigan) who are not enrolled today. Kaiser’s numbers were slightly higher, at 590,000 potentially new Medicaid enrollees, and more recent Census data suggest the …

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Catalyzing Practice Transformation Guided by the Patient Centered Medical Home Model

The Patient Centered Medical Home Model (PCMH) generates much discussion in health care circles. PCMH demonstration projects are widespread, accreditation organizations are developing and implementing certification programs for PCMH-based practices, and payers – including the federal government – are exploring new reimbursement policies to support medical home-based care. There is a sense of urgency about implementing medical home capabilities. Yet …

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Crain's Detroit Business: Physician practices chosen for med home study

CHRT’s efforts in shaping the grant proposal and helping to assemble a comprehensive statewide network of provider organizations and health plans are cited as crucial in this report on the factors leading to Michigan’s selection as one of eight states to participate in the CMS demonstration project on patient-centered medical homes. CHRT director Marianne Udow-Phillips also comments. (Subscription required to …

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The Cost of Prematurity

In 2006, there were 4.3 million children born in the United States. Approximately 55,000 of those children were born prematurely. Premature births have been increasing consistently since 1990 (though there appears to have been a slight drop in the rate of prematurity in 2007). In 1990, 10.6 percent of children were born prematurely; in 2006, that percentage had increased to …

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CHRT report shows pre-term births are leading cause of health problems in infants and significant contributor to health care spending

The Center for Healthcare Research & Transformation (CHRT) based at the University of Michigan today released its Prematurity Issue Brief that shows pre-term births—births at less than 37 weeks of gestation—are the leading cause of health problems in infants and estimated to cost the U.S. more than $26 billion annually. In addition, the report shows that a black infant in …

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What’s happening in the UK? And, what’s it got to do with us?

In the midst of all the focus on election day in the U.S., there was a much overlooked article the same day on changes in the British health care system. The article is about what is called in Great Britain “NICE.” NICE is an acronym that stands for National Institute for Health and Clinical Excellence. NICE was established in 1999 …

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