Publications

Medicaid

Cartoon hospital, ambulance and helicopter

Hospital Uncompensated Care, 2014

2014 marked the launch of the health insurance marketplaces and Medicaid expansion under the Affordable Care Act (ACA). These programs expanded health insurance coverage to many previously uninsured residents, resulting in sharp decreases in the uninsured rate both nationwide and in Michigan. Expanded access to health insurance can benefit health care providers, such as hospitals, financially through reducing their uncompensated …

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Map of a portion of MI

The uninsured in Michigan: Who benefited most from the ACA?

In 2014, millions of previously uninsured Americans gained health insurance coverage through the Affordable Care Act’s (ACA) Medicaid expansion and financial assistance available through the health insurance marketplace. These programs, combined with Michigan’s unemployment rate dipping to its lowest level since 2007, contributed to Michigan’s significant decrease in the number of uninsured residents in 2014. This brief identifies which groups …

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Words, Affordable Care Act, being looked at under a microscope

Affordable Care Act funding: An analysis of grant programs under health care reform

As part of the Patient Protection and Affordable Care Act (ACA), which was signed into law on March 23, 2010, Congress appropriated funding 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 2014 or 2015, including all market …

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Female doctor typing on keypad, stethoscope and chart adjacent on desk

The Affordable Care Act and its effect on employers: Trend analysis

The Patient Protection and Affordable Care Act of 2010 (ACA) contains several provisions that directly affect employers and impact the employer-sponsored health insurance (ESI) system through which the majority of Americans receive coverage. While some experts predicted declines of 4.5 percent or more in employer-sponsored coverage from 2010 to 2016, ESI remained stable in Michigan in 2014, with the continuation …

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Medical professional rating something using the star system

Cover Michigan 2014 Survey: Satisfaction with Health Coverage in Michigan

The third open enrollment period for individual coverage on Michigan’s health insurance marketplace began on November 1, 2015, and will continue until January 31, 2016.(1)U.S. Centers for Medicare & Medicaid Services. November 2015. 2016 health insurance dates and deadlines.https://www.healthcare.gov/quick-guide/dates-and-deadlines/ (accessed 11/4/15) The average Michigan consumer will have 64 plans to choose from during the 2015 open enrollment period.(2)J. Fangmeier, 2015 …
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Pills spilling from a bottle


12.01.2015 | Publication  

Uncoordinated prescription opioid use in Michigan



Prescription opioids such as morphine, oxycodone, and hydrocodone provide pain relief to patients with chronic pain. However, these drugs also pose safety risks to patients. Opioid use can cause respiratory depression, resulting in overdose or death. As prescription opioids have been used more extensively for pain control in the past two decades due to changing practice guidelines, overdose deaths surged …
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Someone being vaccinated


10.05.2015 | Publication  

Flu Vaccination in Michigan: Opportunities for Improvement



Introduction Approximately 6,000 Americans die of influenza every year,[footnote]Centers for Disease Control and Prevention, “Estimates of Deaths Associated with Seasonal Influenza — United States, 1976–2007,” Morbidity and Mortality Weekly Report (MMWR), Aug. 27, 2010, 59(33): 1057–62: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5933a1.htm (accessed 6/25/15) and almost 800 people were hospitalized during the 2014–2015 flu season in the four Michigan counties that report flu hospitalizations (Clinton, …

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Stethoscope with first aid cross on it

Affordable Care Act trend analysis: Michigan’s safety net providers and clients

This brief looks at trends between 2008 and 2014 with regard to Michigan federally qualified health centers (FQHCs) and free clinics. We find that more Michigan patients are receiving care at FQHCs and some free clinics are converting to FQHCs. In 2014, the Affordable Care Act’s (ACA) major coverage expansions—the individual health insurance marketplace and Medicaid expansion—significantly altered the health …

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Cover MI August 2015 - The Underinsured in MI

Cover Michigan: The Underinsured in Michigan, 2013

Click the image to read the full report This issue brief estimates the size of the non-elderly underinsured population in Michigan and in the United States in 2013 and analyzes several social and economic characteristics associated with the underinsured in Michigan, prior to the implementation of the major coverage provisions of the Affordable Care Act (ACA) in 2014. The brief also discusses the challenges faced by the …

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Adult hand holding a child's hand

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. 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 previous stay account for a substantial percentage of admissions. Research has …

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References

References
1 U.S. Centers for Medicare & Medicaid Services. November 2015. 2016 health insurance dates and deadlines.https://www.healthcare.gov/quick-guide/dates-and-deadlines/ (accessed 11/4/15)
2 J. Fangmeier, 2015 …

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Pills spilling from a bottle

Uncoordinated prescription opioid use in Michigan

Prescription opioids such as morphine, oxycodone, and hydrocodone provide pain relief to patients with chronic pain. However, these drugs also pose safety risks to patients. Opioid use can cause respiratory depression, resulting in overdose or death. As prescription opioids have been used more extensively for pain control in the past two decades due to changing practice guidelines, overdose deaths surged …

Read more >
Someone being vaccinated

Flu Vaccination in Michigan: Opportunities for Improvement

Introduction Approximately 6,000 Americans die of influenza every year,[footnote]Centers for Disease Control and Prevention, “Estimates of Deaths Associated with Seasonal Influenza — United States, 1976–2007,” Morbidity and Mortality Weekly Report (MMWR), Aug. 27, 2010, 59(33): 1057–62: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5933a1.htm (accessed 6/25/15)