Medicaid
Changes to Healthy Michigan Plan and Medicaid work requirements
New Michigan Medicaid work requirements and changes to the Healthy Michigan Plan were signed into law on Friday, June 22 and will begin to take effect in 2020. The major changes to the Healthy Michigan Plan are: The new law has added work requirements for non-exempt enrollees, while the previous plan had no work requirements. Previously, Healthy Michigan enrollees with …
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A Consumer’s Guide to New Michigan Medicaid Work Requirements
New Michigan Medicaid work requirements were signed into law on Friday, June 22, and will begin to take effect in 2020. The new law changes the Healthy Michigan Plan, and 700,000 people will be directly impacted. Of the 2.5 million Michiganders who receive Medicaid coverage, 1.8 million traditional Medicaid enrollees are exempt. The program will start January 1, 2020. Michigan’s …
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Proposed work requirements for Medicaid in Michigan: June 7, 2018
At the start of 2018, the U.S. Centers for Medicare and Medicaid Services (CMS) announced a major shift in federal policy that would allow states to request permission to establish, and test the impact of, work and community engagement requirements for able-bodied adults receiving Medicaid health insurance coverage. In the last five months, work requirement proposals have been approved in …
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Setting the stage for the 2019 Health Insurance Marketplace
The Centers for Medicare and Medicaid Services is rolling back regulations around rate increases, essential health benefits, health insurance navigators, and more, for insurers offering Qualified Health Plan coverage on the Health Insurance Marketplace in 2019. On April 9, 2018, the Centers for Medicare and Medicaid Services (CMS) issued new guidance for insurers offering Qualified Health Plan (QHP) coverage on the Health …
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Proposed work requirements for Medicaid in Michigan: April 20, 2018
At the start of 2018, the U.S. Centers for Medicare and Medicaid Services announced a major shift in federal policy that would allow states to request permission to establish, and test the impact of, work and community engagement requirements for able-bodied adults receiving Medicaid health insurance coverage. In early March, Michigan state senators took the first step toward preparing a …
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Advancing the Profession and Sustainability of Community Health Workers
Community Health Workers (CHWs) strive to bridge gaps between traditional healthcare providers and the communities they serve, but the community health worker profession faces several challenges to realizing its full potential. In the fall of 2017, the Center for Healthcare Research and Transformation (CHRT) published an issue brief that focused on the ways State Innovation Model (SIM) grants have helped …
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Changes in Primary Care Physicians’ Patient Characteristics Under the ACA
When the Affordable Care Act (ACA) passed in 2010, health analysts expressed concerns that the expansion in coverage, predominantly through Medicaid and the Health Insurance Marketplace would overload the health system and cause problems
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Creating Sustainability through Public-Private Partnerships: The Future of New Primary Care Models
As the U.S. health care system places a growing emphasis on improving the value of health care, many states and the federal government have increasingly invested in primary care to improve health outcomes and lower health care costs. Unlike “traditional” primary care settings, newer primary care models strengthen primary care providers’ role in expanding access to care and providing comprehensive, …
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Primary Care Teams in Michigan
Primary care teams have become increasingly important in the management of patients with complex chronic care needs. Data from the Center for Healthcare Research and Transformation’s 2016 Michigan Physician Survey show the proportion of primary care physicians (PCP) with primary care team members. Nearly half of PCPs had a care manager or nurse practitioner, while less than one-tenth had a …
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Revisioning the Care Delivery Team: The Role of CHWs within State Innovation Models
The Affordable Care Act (ACA) promoted the broader use of Community Health Workers (CHWs) through a number of initiatives designed to reward health outcomes and value rather than paying providers by volume. One prominent ACA initiative under the Center for Medicare and Medicaid Innovation (CMMI) was the State Innovation Model (SIM) grants to states to design and test new payment …
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