Publications

Publications

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

Are doctors still screening patients for social needs since COVID?

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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A father and daughter brush their teeth, smiling.

The benefits of dental health

Increasingly, researchers are illuminating the benefits of dental health. Oral health impacts overall health and dental care is vitally important to curb chronic conditions and improve the systemic health of patients. In this publication by CHRT and Blue Cross Blue Shield of Michigan, CHRT’s health policy team analyzes peer-reviewed clinical research to understand the benefits of dental health for whole …

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Michigan Medicaid: A primer

Michigan’s Medicaid program provides health insurance coverage for many low-income children and adults. It is a powerful tool for improving the health of Michiganders. In June 2024, over 2.6 million of Michigan’s 10 million residents were enrolled in Medicaid: 1.7 million adults and 946,314 children. Most of Michigan’s Medicaid costs —over 65 percent in 2024—are paid for by the federal …

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A sign hangs on the door of a local business. It reads

Healthcare workforce shortages in Michigan: Recommendations for recruiting and retaining talent

Like the rest of the nation, Michigan is experiencing severe workforce shortages, exacerbated by the COVID-19 pandemic. One 2023 survey showed that 86 percent of physician practices in the state reported declines in staff since the COVID-19 pandemic and another showed 27,000 hospital job openings in early 2023 – a 13 percent vacancy rate. Nearly all health roles are expected …

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A Black man holds the hands of a direct care worker.

Supporting direct care workers in Michigan: Strategies from other states

Direct care workers (DCWs) provide long-term care services to vulnerable populations—largely older adults and people with disabilities—and often help keep people in their homes. Medicaid is the largest payer for long-term care services, many of which are provided by DCWs. According to the 2024 Michigan Healthcare Workforce Index, Michigan’s home health aides, personal care aides and nursing assistants have some …

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Group Counseling

Addressing the behavioral health crisis in Michigan: Strategies for enhancing access and coverage

Michigan faces significant challenges in providing adequate behavioral health services, a crisis that has only grown since the COVID-19 pandemic. A substantial portion of adults in Michigan suffering from mental illness and substance use disorders are not receiving necessary treatment. This is attributed to a lack of access to services, even for those with insurance coverage. Coverage varies significantly by …

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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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