Publications

Publications

Substance Use

Uncoordinated prescription opioid use in Michigan

Prescription opioids such as morphine, oxycodone, and hydrocodone provide pain relief to patients with chronic pain. However, these drugs also pose safety risks to patients. Opioid use can cause respiratory depression, resulting in overdose or death. As prescription opioids have been used more extensively for pain control in the past two decades due to changing practice guidelines, overdose deaths surged …

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

Editor’s Note: Counts for FQHC delivery sites in 2013 were updated to reflect the total number of permanent, seasonal, and administrative/service delivery sites in operation. In 2014, the Affordable Care Act’s (ACA) major coverage expansions—the individual health insurance marketplace and Medicaid expansion—significantly altered the health care landscape. In Michigan, more than 340,000 Michigan residents selected a marketplace plan by March …

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Community mental health services: Coverage and delivery in Michigan

Michigan’s publicly funded mental health system has its origins in Public Act 54, signed in April 1963. This state law permitted counties to form Community Mental Health (CMH) boards to support and treat people with severe mental illness, developmental disabilities, and substance abuse disorders outside of psychiatric hospitals and institutions. The Act was intended to help states “provide for adequate …

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Autism spectrum disorder in Michigan

Autism spectrum disorder (ASD) comprises a group of developmental disabilities that cause impairment in social interactions, communication skills, and behaviors that can have long-term health and social functioning costs for individuals with ASD and their families. In 2014, the Centers for Disease Control and Prevention (CDC) reported that approximately one in 68 children in the United States were diagnosed with …

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The ACA and essential health benefits: Overview of new coverage standards in individual and small group markets

Beginning in January 2014, the Affordable Care Act (ACA) introduced a series of health insurance reforms, particularly for consumers purchasing coverage through the individual market or covered through employment at a small firm. One of the most prominent of these reforms is the requirement that all health plan products in certain market segments must cover an established set of essential …

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Access to mental health care in Michigan

One in five Michiganders report having been diagnosed with depression at some point in their lives. Mental health disorders cause more disability among Americans than any other illness group. Using data from the Cover Michigan Survey and the Michigan Primary Care Physician Survey, both fielded in calendar year 2012, this brief explores issues related to the prevalence of mental health …

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Federally qualified health centers: An overview

Health center is an all-encompassing term for federally qualified health centers (FQHCs) and FQHC look-alikes; they are a key component of the health care safety net that provided care to more than 20 million Americans in 2011. The Patient Protection and Affordable Care Act of 2010 (ACA) has positioned health centers to play a crucial role in the future health …

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