A tale of three cities: Hospital and health system costs in the Midwest
There is tremendous variation in health care spending by geographic region in the United States. To better understand this variation, CHRT analyzed health care markets, state-level regulation, and hospital cost variation in three Midwestern states, focusing on the largest city in each state: Detroit, Michigan; Indianapolis, Indiana; and Milwaukee, Wisconsin. These states were chosen for their diverse health care policies …
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The impact of the Affordable Care Act in Michigan
Covering the first year of expanded health insurance options, this brief provides an overview of Affordable Care Act (ACA) initiatives that are transforming health care and specifically, the impact of the ACA on health care consumers and insurers in Michigan. The brief also reviews some of the major changes providers have faced over the five years of the ACA’s existence. …
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Cover Michigan Survey: Coverage and health care access trends in the wake of the ACA
This brief provides evidence of a dramatic change in Michigan’s health care landscape as a result of the first year of the ACA’s coverage expansions. Overall, the number of residents reporting they were uninsured, struggled to pay medical bills and/or delayed seeking needed medical care has dropped significantly compared to CHRT survey findings before the launch of the ACA coverage …
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The Affordable Care Act and its effect on employers
The Patient Protection and Affordable Care Act of 2010 (ACA) is designed to expand coverage to millions of Americans, yet the ACA largely preserves the system of health insurance sponsored by employers that covers a majority of Americans. Nevertheless, the ACA includes several provisions that directly affect employers and can influence their decisions about whether to offer coverage. Before many …
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Affordable Care Act funding: An analysis of grant programs under health care reform
The Patient Protection and Affordable Care Act (ACA) was signed into law on March 23, 2010, and funds were appropriated to expand access to care, implement broad private insurance reforms, and enhance the public health infrastructure. In order to administer these new grant programs, the ACA created a number of new funding sources in the following categories: Community-based prevention: Includes …
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Rate analysis: Michigan’s 2015 Health Insurance Marketplace
On November 15, 2014, Michigan’s ACA Health Insurance Marketplace launched its second annual open enrollment period. During this period, which runs until February 15, 2015, Michigan residents can shop for health plans and determine if they are eligible for financial assistance to decrease the cost of coverage for the coming year. Compared to the first open enrollment period, the Michigan …
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Primary care capacity in Michigan: How are physicians responding?
On April 1, 2014, Michigan expanded access to Medicaid to people whose income was less than 138 percent of the Federal Poverty Level, or about $32,900 for a family of four. As of December 2014, over 470,000 Michiganders had enrolled in the expanded Medicaid program, known as Healthy Michigan, and over 270,000 Michiganders had enrolled in coverage through the Affordable …
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Michigan: Baseline report—state-level field network study of the implementation of the Affordable Care Act
The Affordable Care Act (ACA) expanded health insurance coverage in 2014 through two key provisions: premium tax credits offered through the health insurance marketplace and the state-option Medicaid expansion. Michigan has taken a mixed approach to implementing the ACA. It very nearly became the first state led entirely by Republicans to create a health insurance exchange as part of the …
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Commercial accountable care organization products: Market leaders and trends
In 2006, Elliott Fisher of Dartmouth coined the term “accountable care.” Accountable care arrangements are based on three principles: Accountability for quality: A group of providers is clinically and financially responsible for the entire continuum of care for a group of patients. Depending on the arrangement, providers, hospitals, and health insurers may share responsibility for the patients’ care. Shared savings: …
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Health care spending for chronic conditions in Michigan
Chronic conditions affect millions of Americans and have a major impact on U.S. health care spending each year, accounting for seven out of every ten deaths in the United States annually. It is estimated that more than 75 percent of all health care costs are associated with chronic diseases. Approximately 45 percent of Americans nationwide are affected by at least …
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