Publications

Publications

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Telehealth for people with disabilities: here are the challenges and opportunities policymakers should consider

Telehealth was a lifeline for people with disabilities during the COVID-19 pandemic. Federal and state policy changes allowed clinics, health systems, and providers to expand telehealth services, which benefitted people with disabilities.  People with disabilities, approximately one in every four Americans, are six times more likely to have ten or more physician visits and five times more likely to be admitted …

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Physicians screen patients for social needs: what happens next? Survey, analysis, and policy recommendations

Increasingly, physicians are screening patients for social needs then connecting patients to local organizations that can provide the required services.  In Michigan, the U.S. Centers for Medicare & Medicaid Services provided funding to policymakers to launch new projects and partnerships to encourage physicians to screen for social needs like food and housing insecurity. The state also supported pilots that connected …

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Clear language and human-centered design can help Medicaid enrollees keep their coverage

Michigan’s expanded Medicaid program, the Healthy Michigan Plan (HMP), has provided health insurance coverage to hundreds of thousands of Michiganders since its launch in April 2014. In 2019, a work requirements bill was passed, requiring HMP enrollees to report a minimum of 80 hours of work per month to keep their insurance benefits. In order to reduce the number of …

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Long COVID’s impact on Michiganders and the Michigan economy

At the time of this publication in May 2022, Michigan has had just over 2 million confirmed COVID cases, excluding deaths. At the percentages indicated in our study and in the literature, 700,000 of these Michiganders could have or may experience long COVID. This could have a major economic burden on families and the state of Michigan due to long …

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Results from the opioid settlement prioritization survey 2021–22

In 2019, Michigan and many of its municipalities filed lawsuits against numerous corporations in the opioid industry. While settlement negotiations regarding some of these lawsuits are ongoing, the State of Michigan is currently drafting legislation that would establish a fund for these resources–$766 million–that would be used to support Michigan-based substance use treatment services and to address the harm created …

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Michigan physicians share perspectives on telehealth opportunities and challenges

The COVID-19 pandemic led to an unprecedented expansion of telehealth in Michigan and across the United States. Telehealth expansion was due, in large part, to a series of pandemic-related policy changes, such as the expansion of insurance coverage for telehealth and the loosening of telehealth delivery restrictions. These new policies allowed patients greater access to remote care to reduce exposure …

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A look back at the journey of the Vital Seniors Initiative—and where it’s heading next

Washtenaw County seniors are a rapidly growing population, expected to more than double by 2040. And many face everyday challenges—such as social isolation, food insecurity, and transportation. In 2018, the Vital Seniors Initiative, managed by the Ann Arbor Area Community Foundation (AAACF) and funded by the Glacier Hills Legacy Fund, was developed to address these challenges. Over $1 million in …

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Michigan’s physicians and health care providers are burnt out: What can we do to help them navigate pandemic pressures?

Michigan’s latest COVID-19 surge is among the worst in the country, and if there’s one thing we know about COVID’s effect on our nation’s health care system, physician and health care provider burnout will soon follow.  Physician burnout is a concern for everyone. It’s tied to lower-quality care, reduced clinical productivity, and increased physician turnover. In the general population, we …

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Here’s the current state of programs supporting Michigan’s 1.7 million caregivers

Like most of the United States, Michigan’s population is aging. Accordingly, the number of unpaid family and informal caregivers—those who support others with tasks related to daily living, such as transportation, feeding, and bathing—has increased substantially over the last three decades. The AARP Public Policy Institute estimated the economic value of unpaid caregiving at $470 billion in 2017. For reference, …

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Family caregiver support: learn about policy and programmatic solutions developed by state and federal agencies

More than 43 million U.S. adults, 13 percent of Americans, provide unpaid care to family members or friends. These family caregivers administer medical care, run errands, provide transportation, manage finances, and help with household chores, among other activities. While most family caregivers are not reimbursed for their efforts, they are a significant component of the nation’s long-term care system. In …

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