Publications

Publications

Stethoscope and lap coat

Michigan Physician Survey: Primary care physician perspectives on innovative compensation models

One goal of the Affordable Care Act (ACA) is to “reduce the growth of health care costs while promoting high-value, effective care.” Provisions of the ACA encourage providers to engage in innovative alternatives to traditional fee-for-service compensation models with a focus on value-based purchasing through a variety of mechanisms. The U.S. Department of Health and Human  Services also recently announced …

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Health plan selection: Factors influencing Michiganders’ choice of health insurance

This brief examines the factors that most influenced consumer health plan selection among those with different types of coverage during the first enrollment period in the Affordable Care Act Health Insurance Marketplace. The brief is based on data from the Center for Healthcare Research & Transformation’s 2014 Cover Michigan Survey of Michigan adults, fielded between September and November 2014. Those …

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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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Stethoscope, calculator and a heart made out of red string

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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Stethoscope on US flag

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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health insurance marketplace

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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