ACA Repeal and Replacement: Proposals and Action
Beginning last month, both U.S. President Donald Trump and the U.S. Congress began taking steps to repeal and replace the Affordable Care Act (ACA). However, a single replacement strategy has not yet emerged. In a new one-page fact sheet, CHRT summarizes the most developed ACA repeal and replacement proposals offered to date and outlines the tentative replacement process. You can …
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Rate Analysis: Michigan’s 2017 Health Insurance Marketplace
While the results of the 2016 presidential election have sparked recent debates about options to repeal and replace the Affordable Care Act, the health insurance marketplaces created under the law continue to operate as usual. So although the future of the law remains unknown, Michigan consumers who enroll in the 2017 Health Insurance Marketplace can likely expect their coverage to …
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Insurance Churning
The uninsured rate has declined substantially since provisions of the Patient Protection and Affordable Care Act (ACA) came into effect. Nevertheless, many individuals continue to experience instability in insurance coverage. Transitions between different insurance plans, as well as between insured and uninsured status, are often referred to as “insurance churning.” The causes of insurance churning vary. Changes in job status …
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Potential GOP Approaches to the Affordable Care Act
A focus on changes to the Affordable Care Act is one of President-elect Donald Trump’s top priorities, and he will enter office with a Republican-controlled Congress eager for a repeal and replace. What are the potential GOP approaches to the Affordable Care Act? In a new one-page summary, CHRT explains: What the GOP repeal and replacement plans could include What …
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Publicly Reported Hospital Quality Rankings
Publicly-reported hospital rankings are released annually and are widely publicized by both the sponsors of the rankings and hospitals that are highly ranked as indicators of hospital quality or safety. Meant to be a useful way for consumers to assess hospital quality, these ranking systems produce inconsistent, contradictory, and confusing results, as some hospitals are highly ranked in some systems …
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The Effects of the Affordable Care Act on Federally Qualified Health Centers in Michigan
Federally Qualified Health Centers (FQHCs) form a critical part of the health care safety net, providing essential primary care services to people with limited health care access. The Affordable Care Act (ACA) increased FQHC funding from 2010 through 2015 and significantly expanded the insured population beginning in 2014. The purpose of this brief is to describe how the overall experience …
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Advance Care Planning: Tying a Community Perspective to the National Conversation
Advance care planning (ACP) is a process where people talk with family members and doctors about their end-of-life care preferences and designate someone to carry out their wishes. ACP helps people plan for future medical treatment in the event of a serious illness. Controversies associated with ACP—perhaps most famously the accusations of “death panels” that demonized the Affordable Care Act—have …
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Wellness program participation
This brief examines the characteristics of Michigan residents who reported being invited to participate in wellness programs and their perceptions of these programs. The brief is based on data from the Center for Healthcare Research & Transformation’s (CHRT) 2015 Cover Michigan Survey of Michigan adults, fielded between October and December 2015. Wellness programs have grown increasingly common in recent years. …
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Effects of the Affordable Care Act on the Health Care Safety Net in Detroit
Since its passage in 2010, the Affordable Care Act (ACA) has introduced a series of health care financing and delivery reforms to expand coverage, invest in health care infrastructure, and implement changes to improve quality and costs. In 2014, the ACA’s coverage expansion began in Michigan through the launches of the health insurance marketplaces on January 1 and the Healthy …
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Effects of the Affordable Care Act on Health Insurance Coverage in Southeast Michigan
Combined with a decreasing unemployment rate, the Affordable Care Act’s (ACA) coverage expansion contributed to a sharp decrease in Michigan’s uninsured rate in 2014. However, effects of the coverage expansion have been uneven, and socioeconomic and geographic disparities in coverage remain across the state. Since the launch of the ACA coverage expansion in 2014, millions of previously uninsured Americans have …
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