Publications

Publications

Nurse looking at table and using calculator

Hospital Uncompensated Care in the United States, 2015 – Comparison of Midwest States

Since the launch of health insurance coverage expansion in 2014 under the Affordable Care Act (ACA), Michigan and other states have experienced large decreases in the number of adults who lack health insurance, delay necessary care, and have trouble paying their medical bills.[footnote] Austic, E. Lawton, M. Slowey, M. Riba, and M. Udow-Phillips, Changes in Health Care Cost Barriers under …

Read more >
Capitol building

Comparing Key Provisions: Affordable Care Act, American Health Care Act, and Better Care Reconciliation Act

Editor’s Note: CHRT revised the following table (originally published June 27, 2017) to reflect both the U.S. Senate’s July 13 revision of its Better Care Reconciliation Act (BCRA) and the Congressional Budget Office’s score of the revised BCRA.   On June 22, 2017, Senate Republicans released a discussion draft of the Better Care Reconciliation Act, their proposal to repeal and replace the Affordable …

Read more >
Word, Legislation, being highlighted in green

American Health Care Act: Key Provisions and Implications, June 2017 Update

In March 2017, House Republicans unveiled the American Health Care Act (AHCA), their proposal to replace the Affordable Care Act (ACA). On May 4, the U.S. House of Representatives passed AHCA by a vote of 217-213. On May 24, the U.S. Congressional Budget Office projected that under the House-passed version of AHCA, 14 million more Americans would be uninsured in …

Read more >
yellow road sign that reads health Insurance Changes Ahead

American Health Care Act: Key Provisions and Implications, May 2017 Update

In March 2017, House Republicans unveiled the American Health Care Act (AHCA), their proposal to replace the Affordable Care Act (ACA). On May 4, the U.S. House of Representatives passed AHCA by a vote of 217-213. On March 13, the U.S. Congressional Budget Office projected that under AHCA (as introduced), 14 million Americans would lose their health insurance in 2018, …

Read more >
healthcare.gov being looked at under microscope

April 2017 HHS Rule and Other Proposals to Stabilize the Health Insurance Marketplaces

Health plans are now determining whether to offer coverage in the Marketplace this fall and if so, which products and rates to offer. While there is continuing discussion about repealing and replacing the Affordable Care Act (ACA), legislative action does not appear imminent. To assure a robust ACA market, many have advocated for “repairs” to the ACA. These potential repairs …

Read more >
Words, Affordable Care Act, being looked at under a microscope

American Health Care Act: Key Provisions and Implications in Michigan

In March 2017, House Republicans unveiled the American Health Care Act (AHCA), their proposal to replace the Affordable Care Act (ACA). On March 13, the U.S. Congressional Budget Office projected that under the AHCA, 14 million Americans would lose their health insurance in 2018, with the number of uninsured rising to 24 million by 2026. The following summarizes key American …

Read more >
Male and female working with paperwork of charts and graphs

American Health Care Act: Michigan Impacts

According to the Congressional Budget Office (CBO), the American Health Care Act would have differential impacts on individuals depending on factors such as age, income, geographic location, plan choice, and overall health. In general, the CBO concluded that people who are older, sicker, or receive their coverage through Medicaid will likely see higher costs or lower levels of benefits, while …

Read more >
A scale with medication on one side and money on the other

Changes in Health Care Cost Barriers under the Affordable Care Act in Michigan

The Affordable Care Act (ACA) not only significantly expanded access coverage starting in 2014, but also sought to improve access to services by reducing cost barriers to care and requiring coverage of certain “essential benefits”. For example, the ACA established patient annual out-of-pocket cost maximums; eliminated patient cost sharing for certain preventive care services; and prohibited annual and lifetime limits …

Read more >
Someone holding a happy face block and not the sad face block

Michigander’s satisfaction with health care coverage has increased since ACA implementation

Data from the Center for Healthcare Research and Transformation’s (CHRT) Cover Michigan Survey describes the rate of satisfaction with health care coverage before and after implementation of the Patient Protection and Affordable Care Act (ACA). Satisfaction with health care coverage in the state of Michigan has increased since the implementation of the ACA. In 2015, 57 percent of Michiganders reported …

Read more >
health insurance marketplace

Select Affordable Care Act replacement plans and implications

No single replacement for the Affordable Care Act (ACA) has yet emerged. However, there are several ideas that seem to have considerable support among those in health care leadership roles in President Trump’s Administration and Congress. This brief, Select Affordable Care Act Replacement Plans and Implications, summarizes the key features of the most developed full repeal and replacement plans offered …

Read more >