Healthy Aging
Michigan health care and mental health care providers need more training, support to serve the state’s aging veterans
Only 6.7 percent of Michigan health care and mental health providers are fully prepared to serve Michigan’s aging veteran population according to a new report by the Center for Health and Research Transformation (CHRT) at the University of Michigan. This finding is based on CHRT’s statewide assessment of the readiness and capacity of Michigan health care providers to serve older …
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CHRT report evaluates Michigan’s COVID-19 nursing home strategy and provides recommendations for future approaches
The Center for Health and Research Transformation (CHRT) is releasing its summary analysis of the state of Michigan’s nursing home hub strategy along with evidence-based recommendations to help improve the care and safety of residents and staff in the state’s long term care system during the COVID-19 pandemic. Findings support state’s initial strategy and identify additional approaches that can be …
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Reforms needed after systemic flaws in nursing homes worsen COVID-19: Read our piece in ABA journal on law and aging
A new piece by CHRT staff, “Reforms needed after systemic flaws in nursing homes worsen COVID-19,” appears in this month’s BIFOCAL, a journal of the American Bar Association Commission on Law and Aging. The article by Marianne Udow-Phillips, founding executive director, and Robyn Rontal, data analytics director, explores the need for systemic change in nursing homes and long-term care facilities. …
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COVID-19 rapid response brief: Best practices for protecting populations in nursing homes, long-term care settings
Throughout the COVID-19 crisis, staff members at the Center for Health and Research Transformation (CHRT) have been conducting rapid response research for Michigan policy leaders who are working proactively to protect vulnerable communities across the state. In this analysis for the Michigan Department of Health and Human Services, we explore best practices for protecting populations in long-term care settings such …
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Managed long-term services and supports: Michigan Department of Health and Human Services research report
In the 2017-2018 state budget, the Michigan Legislature asked the Michigan Department of Health and Human Services (MDHHS) to explore implementing managed long-term services and supports (LTSS). The department hired the Center for Health and Research Transformation (CHRT), Health Policy Matters (HPM), and Public Sector Consultants (PSC) to conduct an analysis of the state’s existing long-term services and supports system …
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Advance Care Planning: Tying a Community Perspective to the National Conversation
Advance care planning (ACP) is a process where people talk with family members and doctors about their end-of-life care preferences and designate someone to carry out their wishes. ACP helps people plan for future medical treatment in the event of a serious illness. Controversies associated with ACP—perhaps most famously the accusations of “death panels” that demonized the Affordable Care Act—have …
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Acute care readmission reduction initiatives: An update on major programs in Michigan
Inpatient hospitalizations account for 32 percent of the total $2.9 trillion spent on health care in the United States. In the majority of cases, it is necessary and appropriate to admit a patient to the hospital. However, patients returning to the hospital soon (e.g., within 30 days) after their previous stay account for a substantial percentage of admissions. Research has …
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Price transparency in health care: Federal and state initiatives, ongoing challenges, and opportunities for the future
This brief provides an overview of price transparency initiatives in health care by federal and state governments and private entities; discusses the challenges associated with achieving the current goals of price transparency efforts; and highlights opportunities for moving forward to effectively achieve such goals. In recent years, consumers have assumed an increasing share of health care spending through high deductible …
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Affordable Care Act funding: An analysis of grant programs under health care reform
The Patient Protection and Affordable Care Act (ACA) was signed into law on March 23, 2010, and funds were appropriated to expand access to care, implement broad private insurance reforms, and enhance the public health infrastructure. In order to administer these new grant programs, the ACA created a number of new funding sources in the following categories: Community-based prevention: Includes …
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Commercial accountable care organization products: Market leaders and trends
In 2006, Elliott Fisher of Dartmouth coined the term “accountable care.” Accountable care arrangements are based on three principles: Accountability for quality: A group of providers is clinically and financially responsible for the entire continuum of care for a group of patients. Depending on the arrangement, providers, hospitals, and health insurers may share responsibility for the patients’ care. Shared savings: …
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