Medicaid
The impact of the Affordable Care Act in Michigan
Covering the first year of expanded health insurance options, this brief provides an overview of Affordable Care Act (ACA) initiatives that are transforming health care and specifically, the impact of the ACA on health care consumers and insurers in Michigan. The brief also reviews some of the major changes providers have faced over the five years of the ACA’s existence. …
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Cover Michigan Survey: Coverage and health care access trends in the wake of the ACA
This brief provides evidence of a dramatic change in Michigan’s health care landscape as a result of the first year of the ACA’s coverage expansions. Overall, the number of residents reporting they were uninsured, struggled to pay medical bills and/or delayed seeking needed medical care has dropped significantly compared to CHRT survey findings before the launch of the ACA coverage …
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Affordable Care Act funding: An analysis of grant programs under health care reform
The Patient Protection and Affordable Care Act (ACA) was signed into law on March 23, 2010, and funds were appropriated to expand access to care, implement broad private insurance reforms, and enhance the public health infrastructure. In order to administer these new grant programs, the ACA created a number of new funding sources in the following categories: Community-based prevention: Includes …
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Rate analysis: Michigan’s 2015 Health Insurance Marketplace
On November 15, 2014, Michigan’s ACA Health Insurance Marketplace launched its second annual open enrollment period. During this period, which runs until February 15, 2015, Michigan residents can shop for health plans and determine if they are eligible for financial assistance to decrease the cost of coverage for the coming year. Compared to the first open enrollment period, the Michigan …
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Primary care capacity in Michigan: How are physicians responding?
On April 1, 2014, Michigan expanded access to Medicaid to people whose income was less than 138 percent of the Federal Poverty Level, or about $32,900 for a family of four. As of December 2014, over 470,000 Michiganders had enrolled in the expanded Medicaid program, known as Healthy Michigan, and over 270,000 Michiganders had enrolled in coverage through the Affordable …
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Michigan: Baseline report—state-level field network study of the implementation of the Affordable Care Act
The Affordable Care Act (ACA) expanded health insurance coverage in 2014 through two key provisions: premium tax credits offered through the health insurance marketplace and the state-option Medicaid expansion. Michigan has taken a mixed approach to implementing the ACA. It very nearly became the first state led entirely by Republicans to create a health insurance exchange as part of the …
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Community mental health services: Coverage and delivery in Michigan
Since 1965, the number of Community Mental Health centers (CMHs) has increased from 12 covering 16 counties to 46 covering all 83 counties in Michigan. Today, Medicaid is the major source of most funding for the publicly funded mental health system in Michigan, and care at CMHs is an entitled benefit under Medicaid. As such, individuals with Medicaid coverage are …
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Autism spectrum disorder in Michigan
Autism spectrum disorder (ASD) comprises a group of developmental disabilities that cause impairment in social interactions, communication skills, and behaviors that can have long-term health and social functioning costs for individuals with ASD and their families. In 2014, the Centers for Disease Control and Prevention (CDC) reported that approximately one in 68 children in the United States were diagnosed with …
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The ACA and essential health benefits: Overview of new coverage standards in individual and small group markets
Beginning in January 2014, the Affordable Care Act (ACA) introduced a series of health insurance reforms, particularly for consumers purchasing coverage through the individual market or covered through employment at a small firm. One of the most prominent of these reforms is the requirement that all health plan products in certain market segments must cover an established set of essential …
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Effects of the ACA on insurance affordability for the uninsured in Michigan
January 1, 2014, marked the beginning of new health insurance affordability programs made available through the Patient Protection and Affordable Care Act (ACA). These programs include tax credits to lower premium costs, assistance to reduce out-of-pocket expenses, and an optional state expansion of Medicaid eligibility. This analysis examines the effects of the ACA’s premium tax credits and cost-sharing reductions on …
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