Medicaid eligibility in Michigan: 40 ways to qualify for government-supported medical assistance

Medicaid Eligibility Before the Affordable Care Act Under federal rules governing the Medicaid program, individual states have broad discretion to expand Medicaid eligibility beyond federally-mandated categories. In Michigan, there are no fewer than 40 different ways to qualify for Medicaid or other government-supported medical assistance. Eligibility requirements vary widely among the eligibility categories, and eligibility determinations are made based on …

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The path to health care coverage under the Affordable Care Act: A flow chart

Following the U.S. Supreme Court’s decision to uphold the constitutionality of the Patient Protection and Affordable Care Act (ACA), efforts continue at the state and federal levels to prepare for implementation of key provisions of the ACA scheduled to take effect in 2014. These provisions, such as the (now optional) Medicaid expansion, the individual mandate to purchase insurance, state insurance …

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Medicaid eligibility, enrollment, and outreach practices across the U.S.

The Patient Protection and Affordable Care Act of 2010 (ACA) expands Medicaid eligibility to all individuals at or below 133 percent of poverty (138 percent with the five percent income disregard) beginning on January 1, 2014. The law will have the greatest impact on low-income childless adults – a group that has been largely excluded from the Medicaid program under …

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Cover Michigan Survey 2011

In 2009, the Center for Healthcare Research & Transformation (CHRT) commissioned the first Cover Michigan Survey, to gain insight into the issue of health care access in Michigan. The report was released in March 2010. Now, this 2011 report presents the findings of the Cover Michigan Survey conducted in 2010, which was designed to delve deeper into key questions raised …

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Guide to state requirements and policy choices in the Affordable Care Act

The Patient Protection and Affordable Care Act of 2010 (ACA) requires the establishment of significant new state-level structures by the year 2014. This document summarizes major ACA requirements and policy choices for states between now and 2014.* The two most significant ACA requirements for state implementation between now and 2014 are: To establish health insurance exchanges for individuals and small …

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Preterm and premature birth in Michigan and the U.S.: Prevalence, risk factors, and disparities

One in eight babies are born prematurely in the United States and Michigan, with serious consequences for infant morbidity and mortality.  Premature and preterm are defined as less than 37 weeks of completed gestation. Premature babies experience a variety of medical problems, resulting in more doctor visits and hospitalizations. Having a premature baby takes an enormous emotional toll on a …

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Impact of health reform on coverage in Michigan

The Patient Protection and Affordable Care Act (ACA) will affect the picture of coverage in Michigan in many different ways. While it is relatively easy to project the impact of some ACA components, such as the number of individuals who will be eligible for Medicaid after 2014, it is more difficult to project many other elements, such as how many …

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Cover Michigan Survey 2010

In January of 2009, CHRT released the first edition of Cover Michigan, a report designed to provide a comprehensive picture of health care coverage in the U.S. and Michigan. In August 2009, to better understand the impact of coverage trends on the people behind the statistics, CHRT commissioned a survey of 1,022 Michigan adults about their sources of coverage, perceived …

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Health care spending by country, state, and payer

Experts on all sides of the health reform debate agree that the current rate of growth in health care spending is unsustainable and ultimately damaging to the country’s economy and health system alike. Patients experience this stress in a more personal way, through rising out-of-pocket costs or by struggling to get the care they need. Most agree that measures to …

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