Michigan: Baseline report—state-level field network study of the implementation of the Affordable Care Act

December 6, 2014

A city skyline.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 ACA. Instead, Michigan was one of the more than thirty states to default to a federally run exchange. The state decided to adopt the Medicaid expansion, but with a delayed start date of April 2014.

The Center for Healthcare Research and Transformation examines the implementation of the Affordable Care Act in Michigan, focusing on Michigan’s route to expanded Medicaid coverage and decision to default to a federally-facilitated Health Insurance Marketplace.

The report is the most recent in a series of state and regional studies examining the rollout of the ACA. The national network, with 36 states and 61 researchers, is an effort of the Rockefeller Institute of Government at the State University of New York, the Brookings Institution, and the Fels Institute of Government at the University of Pennsylvania. The Michigan report was prepared by the Center for Healthcare Research and Transformation and David K. Jones, assistant professor of Health Policy & Management at Boston University and a graduate of the University of Michigan School of Public Health.

CHRT’s report on Affordable Care Act implementation in Michigan and other state reports published to date are available on the Rockefeller Institute of Government’s ACA Implementation Research Network: