Publications

Publications

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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Changes in Health Insurance Coverage in the United States, 2014

These figures describe the health insurance coverage changes that occurred during the 2014 calendar year, the first year of the Affordable Care Act’s (ACA) coverage expansion provisions. These provisions included the launch of the health insurance marketplaces in all states and the optional Medicaid expansion adopted by 26 states and the District of Columbia in 2014. Overall, the number of …

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Cover Michigan Survey: The Uninsured in Michigan

This brief examines the characteristics of those in Michigan who reported being uninsured, approximately two years after the ACA’s major coverage provisions went into effect beginning in 2014. A major goal of the Affordable Care Act was to reduce the number of Americans who are uninsured. The main provisions of the law that were intended to help achieve that reduction …

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Prevalence, medication, and therapy variations for child Attention Deficit Hyperactivity Disorder (ADHD) in Michigan

This brief examines ADHD treatment for Michigan children (aged 4 to 17), including medication and behavioral therapy, and regional variation in treatment patterns. Attention deficit hyperactivity disorder (ADHD) is the most common neurobiological disorder among children in the U.S. Hyperactivity, impulsiveness, and difficulty staying focused or paying attention are common symptoms of ADHD, and may continue into adulthood. Children with ADHD …

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Hospital Uncompensated Care, 2014

2014 marked the launch of the health insurance marketplaces and Medicaid expansion under the Affordable Care Act (ACA). These programs expanded health insurance coverage to many previously uninsured residents, resulting in sharp decreases in the uninsured rate both nationwide and in Michigan. Expanded access to health insurance can benefit health care providers, such as hospitals, financially through reducing their uncompensated …

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The uninsured in Michigan: Who benefited most from the ACA?

In 2014, millions of previously uninsured Americans gained health insurance coverage through the Affordable Care Act’s (ACA) Medicaid expansion and financial assistance available through the health insurance marketplace. These programs, combined with Michigan’s unemployment rate dipping to its lowest level since 2007, contributed to Michigan’s significant decrease in the number of uninsured residents in 2014. This brief identifies which groups …

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Affordable Care Act funding: An analysis of grant programs under health care reform

As part of the Patient Protection and Affordable Care Act (ACA), which was signed into law on March 23, 2010, Congress appropriated funding to expand access to care, implement private insurance reforms, and enhance public health infrastructure. The ACA provided for both annual appropriations and multiple-year appropriations. Many ACA funds ended in fiscal year 2014 or 2015, including all market …

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