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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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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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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Primary care and public health integration: Innovative strategies from a state-level review
In a recent Journal of Public Health Management & Practice report, Strengthening Public Health Through Primary Care and Public Health Collaboration: Innovative State Approaches, CHRT’s Nancy M. Baum and Samantha Iovan, along with Marianne Udow-Phillips, explore the dynamic initiatives undertaken by four states to forge stronger connections between public health and primary care. Seventeen state leaders from North Carolina, Oregon, …
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Bridge the gaps: Strengthening public health through primary care collaboration and funding innovation
In a January 2024 Milbank Quarterly opinion piece, Connecting Public Health and Primary Care: The Prevention and Public Health Fund Redux, authors Marianne Udow-Phillips, Samantha Iovan and Peter D. Jacobson take a look at the critical role of primary care in bridging the gap between public health and medical care, as emphasized by longstanding funding disparities which were particularly evident …
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CHRT staff in Health Affairs on strengthening public health through collaboration with primary care
In a recent Health Affairs Forefront piece, Strengthening public health through collaboration with primary care: lessons from the states, CHRT’s Nancy Baum and Samantha Iovan share key findings from research across four states: North Carolina, Oregon, Rhode Island, and Washington. These four states were selected based on the authors’ previous research, which identified these states as innovators in their work …
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Organizations’ perspectives on successful aging with long-term physical disability
CHRT staff Marissa Rurka and Melissa Riba of the Center for Health and Research Transformation (CHRT), recently published a study in the peer-reviewed journal, Disabilities, on Organizations’ perspectives on successful aging with long-term physical disability. To best serve those aging with physical disabilities, organizations must understand what successful aging means for this population. From October 2021 to May 2022, 128 …
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Physicians screen patients for social needs: what happens next? Survey, analysis, and policy recommendations
Increasingly, physicians are screening patients for social needs then connecting patients to local organizations that can provide the required services. In Michigan, the U.S. Centers for Medicare & Medicaid Services provided funding to policymakers to launch new projects and partnerships to encourage physicians to screen for social needs like food and housing insecurity. The state also supported pilots that connected …
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Clear language and human-centered design can help Medicaid enrollees keep their coverage
Michigan’s expanded Medicaid program, the Healthy Michigan Plan (HMP), has provided health insurance coverage to hundreds of thousands of Michiganders since its launch in April 2014. However, in 2019, the state passed a work requirements bill, which introduced more steps needed to retain HMP coverage. The bill asked HMP enrollees to report a minimum of 80 hours of work per …
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Long COVID’s impact on Michiganders and the Michigan economy
At the time of this publication in May 2022, Michigan has had just over 2 million confirmed COVID cases, excluding deaths. At the percentages indicated in our study and in the literature, 700,000 of these Michiganders could have or may experience long COVID. This could have a major economic burden on families and the state of Michigan due to long …
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