Publications

The Center for Health and Research Transformation (CHRT) has released an issue brief focused on access to health care. The brief, titled “Access to Health Care in Michigan,” describes barriers that affect health care access in the state. Health insurance coverage is a central element improving access to care, but insurance coverage alone is not sufficient to ensure access. This brief highlights additional critical factors such as provider location and availability, and unmet social needs. The analysis emphasizes disproportionate impacts on rural residents, low-income families, and young adults. It also discusses approaches used in MIchigan to improve access, including telehealth expansion and provider incentives.

Key Findings
1. Health Insurance Coverage
Adequate health insurance is linked to better health outcomes, preventive service engagement, reduced financial burden, and improved access to necessary medications. Individuals obtain health insurance through employer-sponsored plans, individual purchases via the ACA Marketplace, or government-funded programs like Medicare and Medicaid. As of October 2024, approximately 2.6 million Michiganders were enrolled in Medicaid. Despite a relatively low uninsured rate of 4.5% in 2023, certain groups—such as those without a high school diploma, and young adults aged 26-34—experience higher rates of uninsurance. Additionally, underinsurance remains a concern, since cost sharing such as high deductibles and coinsurance pose barriers even for those with coverage.

2. Provider Shortages
Michigan faces challenges with health care provider availability, particularly in rural areas. The state has implemented strategies to address these shortages, including expanding telehealth services and offering incentives to attract and retain providers in underserved regions.

3. Unmet Social Needs
Social needs for transportation, housing, and food security significantly influence health outcomes. They also hinder access to health care services, adherance to treatment plans, and maintenance of overall well-being. Michigan has initiated programs to integrate social care with health care delivery, aiming to address these barriers comprehensively.

Conclusion
Access to health care in Michigan is influenced by a complex interplay of insurance coverage, provider availability, and social determinants. Ongoing state efforts are necessary to improve access to care for all residents. Policymakers, health care providers, and community organizations must collaborate to address multifaceted challenges.

For a more detailed analysis and comprehensive recommendations, read the full brief.