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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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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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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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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Pathways to reform in Michigan: Diversion, deflection, and reentry programs
A recent report from the U.S. Department of Justice revealed alarming rates of mental health disorders among jail inmates–on average, 44 percent of inmates had a mental health diagnosis. Despite this prevalence, jails lack adequate resources to meet inmates’ mental health needs, potentially worsened by discriminatory practices, implicit bias, overcrowding, and hostile environments. And these challenges disproportionately affect racial and …
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Strengthening public health through integration with primary care
State and local leaders across the country are taking innovative steps to strengthen public health through integration with primary care. Public health agencies at the state and local levels have long faced challenges such as chronic underfunding, rigid funding streams, outdated and disconnected data systems, fragmented care delivery structures, and workforce shortages. Partnerships between medical care systems, community-based organizations, and …
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Supporting behavioral health providers in public health emergencies
Support for behavioral health care providers is crucial, especially considering the significant stress and burnout they have experienced prior to and during the pandemic. To understand how to better support behavioral health care providers during public health emergencies, this study explores three topics. Burnout While the literature is limited, studies suggests that burnout can affect physical and mental health for many …
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The value of community health workers in extending the behavioral health workforce
Prior studies suggest that Community Health Workers (CHWs) add significant value in healthcare settings. CHWs can improve physical health outcomes and lower health care costs for their patients, but there is limited research on the roles CHWs fill in behavioral health care. Trusted frontline health workers, CHWs often live in or come from the communities they serve. Importantly, they support hard-to-engage …
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Housing crisis is magnified for people with physical disabilities. Here’s how we can help.
The U.S. housing crisis is worse for people with physical disabilities for two reasons. First, affordable housing is a challenge because people with physical disabilities are twice as likely to be low income. Second, accessibility is a challenge because significant and costly renovations are often required for people with physical disabilities. Those with physical disabilities are disproportionately impacted by the …
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Increasing access to integrated models of primary and behavioral health care in rural and urban areas of Michigan
Nationally, mental health needs increased over the last several years, exacerbated by the coronavirus disease 2019 (COVID-19) public health emergency that began in March 2020. A 2021 survey found that “…31.6 percent of adults in the U.S. reported symptoms of anxiety and/or depressive disorder, up from 11.0 percent in 2019.” Primary care and BH providers offer a range of services …
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