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Affordable Care Act trend analysis: Michigan’s safety net providers and clients

This brief looks at trends between 2008 and 2014 with regard to Michigan federally qualified health centers (FQHCs) and free clinics. We find that more Michigan patients are receiving care at FQHCs and some free clinics are converting to FQHCs. In 2014, the Affordable Care Act’s (ACA) major coverage expansions—the individual health insurance marketplace and Medicaid expansion—significantly altered the health …

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Cover Michigan: The Underinsured in Michigan, 2013

Click the image to read the full report This issue brief estimates the size of the non-elderly underinsured population in Michigan and in the United States in 2013 and analyzes several social and economic characteristics associated with the underinsured in Michigan, prior to the implementation of the major coverage provisions of the Affordable Care Act (ACA) in 2014. The brief also discusses the challenges faced by the …

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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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Michigan Physician Survey: Primary care physician perspectives on innovative compensation models

One goal of the Affordable Care Act (ACA) is to “reduce the growth of health care costs while promoting high-value, effective care.” Provisions of the ACA encourage providers to engage in innovative alternatives to traditional fee-for-service compensation models with a focus on value-based purchasing through a variety of mechanisms. The U.S. Department of Health and Human  Services also recently announced …

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Health plan selection: Factors influencing Michiganders’ choice of health insurance

This brief examines the factors that most influenced consumer health plan selection among those with different types of coverage during the first enrollment period in the Affordable Care Act Health Insurance Marketplace. The brief is based on data from the Center for Healthcare Research & Transformation’s 2014 Cover Michigan Survey of Michigan adults, fielded between September and November 2014. Those …

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The impact of the Affordable Care Act in Michigan

Covering the first year of expanded health insurance options, this brief provides an overview of Affordable Care Act (ACA) initiatives that are transforming health care and specifically, the impact of the ACA on health care consumers and insurers in Michigan. The brief also reviews some of the major changes providers have faced over the five years of the ACA’s existence. …

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Cover Michigan Survey: Coverage and health care access trends in the wake of the ACA

This brief provides evidence of a dramatic change in Michigan’s health care landscape as a result of the first year of the ACA’s coverage expansions. Overall, the number of residents reporting they were uninsured, struggled to pay medical bills and/or delayed seeking needed medical care has dropped significantly compared to CHRT survey findings before the launch of the ACA coverage …

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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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health insurance marketplace

Rate analysis: Michigan’s 2015 Health Insurance Marketplace

On November 15, 2014, Michigan’s ACA Health Insurance Marketplace launched its second annual open enrollment period. During this period, which runs until February 15, 2015, Michigan residents can shop for health plans and determine if they are eligible for financial assistance to decrease the cost of coverage for the coming year. Compared to the first open enrollment period, the Michigan …

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