Publications

Doctor demonstrates a vaccine on a blue teddy bear

Most Michiganders Trust Vaccines but Hesitancy Persists

Michigan continues to show strong support for childhood vaccination. However, ongoing skepticism and uncertainty around vaccine safety and public health policies remain key challenges. Findings from the 2025 Cover Michigan Survey highlight differences in trust across demographic groups and the need for targeted, evidence-based strategies. Most Michiganders believe vaccines are safe and important, and most parents report their children are …

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Health Insurance in Michigan, 2008 – 2024

Introduction Over the past 16 years, Michigan’s health insurance environment has undergone a significant transformation driven by major policy shifts and demographic changes. This report examines the period from 2008 to 2024, highlighting the impact of the Affordable Care Act (ACA), the launch of the Healthy Michigan Plan, and the response to the COVID-19 pandemic. By analyzing data from the …

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Health System Transformation Through EMS Data Integration – for Policy Makers

Emergency Medical Services (EMS) data represents a critical, yet underutilized, resource with significant potential to transform public health surveillance, support the delivery of health and social services, and improve health outcomes. Investing in the integration of this near real-time data source will provide visibility into patient needs that remain hidden in traditional clinical settings, driving better care coordination, efficiency, and …

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Overall CCBHC Growth Infographic FY 2022 through FY 2024

Certified Community Behavioral Health Clinics in Michigan: Early Results

Certified Community Behavioral Health Clinics (CCBHCs) are non-profit organizations or units of a local government behavioral health authority designed to provide comprehensive, integrated mental health and substance use disorder (SUD) services to anyone who walks through their door, regardless of their diagnosis, insurance status, ability to pay, or residence. The Michigan Certified Community Behavioral Health Clinic (CCBHC) Demonstration launched on …

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The state of Michigan highlighted on a map

Certified Community Behavioral Health Clinics in Michigan: Expanding Access to Behavioral Health Services

The Michigan Certified Community Behavioral Health Clinic (CCBHC) Demonstration is an initiative designed to expand access to community behavioral health services and improve Medicaid reimbursement. Michigan joined the federal Demonstration on October 1, 2021, with 13 initial sites, following authorization by the CARES Act of 2020. The program was later extended to a six-year demonstration, set to end in September …

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A female physician leans back in her chair, looking at the ceiling

85% of Michigan physicians blame admin burden for rising stress and burnout

Physician burnout is a critical issue threatening both the stability of Michigan’s healthcare workforce and the quality of care that Michiganders receive. It is also a driving force behind staff turnover and decreased productivity in the state. These issues extend beyond staffing concerns, impacting both the quality and experience of care. Research has found clear links between physician burnout and …

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A doctor screens his patient for social needs

When Doctors ask patients about social needs, do they know where to send patients for help?

Since 2018, the Center for Health and Research Transformation (CHRT) has been surveying primary care physicians (PCPs) across Michigan about their experiences screening patients for health-related social needs and referring them to community-based resources for support. In this report, we examine how social needs screening and knowledge about where to refer patients has changed from before the pandemic (2018), to …

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Insured and uninsured on a form, with uninsured circled in red

Concerns about Medicaid redetermination in Michigan: Insights from physicians

In March 2023, with the end of the Public Health Emergency initiated under the Covid 19 pandemic, Michigan reinstated redeterminations for Medicaid eligibility, resulting in the disenrollment of over 687,000 residents as of February 2024—82% of which were due to missing documentation or missed notifications. The Center for Health & Research Transformation (CHRT) surveyed Michigan physicians to gauge their concerns …

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Ob/Gyn examines expecting mom during prenatal visit to prevent maternal mortality

Reducing maternal mortality: Addressing health-related social needs during prenatal visits

Work must be done to reverse maternal mortality trends in Michigan and other states. In Michigan, maternal mortality rates surpass the national average and recent estimates suggest that 80 percent of maternal deaths in the United States are preventable. Further, there are stark racial disparities in maternal health, with Black individuals experiencing a 2.6 times higher likelihood of dying from …

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Opioids spilled over settlement money

Maximizing Michigan’s opioid settlement funds: A strategic approach for recovery

In response to the opioid epidemic’s devastating impact, the Michigan Opioid Partnership asked the Center for Health and Research Transformation (CHRT) to speak with members of the substance use disorder recovery support community to gather suggestions for the investment of Michigan’s state and local opioid settlement funds. As Michigan anticipates receiving over $1.5 billion from opioid settlements, there is an …

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