Publications

Publications

Employee cost-sharing for health insurance in Michigan and the United States

This brief reports on trends in health insurance premiums and cost-sharing among private-sector employers in Michigan and the United States from 2002 to 2012, and provides a focused look at high-deductible health plans by employer size. From 2002 through 2012, average total premiums in the United States increased by approximately 80 percent. While employer cost-control efforts in the 1990s could …

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Private health insurance in Michigan and the U.S.: Declines in employer-sponsored insurance

More than 500,000 people in Michigan lost their private health insurance from 2008 to 2011. The primary reason for the decline in private insurance in Michigan and in the nation was the erosion of employer-sponsored insurance (ESI), the most common way that Americans get private coverage. From 1999 to 2011, the proportion of individuals covered by ESI decreased by approximately …

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Federally qualified health centers: Are they effective?

In 1964, the Office of Economic Opportunity established federally qualified health centers (FQHCs), which were initially called neighborhood health centers, as part of President Lyndon B. Johnson’s “War on Poverty.” The legislative goals for neighborhood health centers were to: Provide comprehensive, high-quality health services. Be accessible to low-income residents. Be responsive to patient needs. Offer employment, education and social assistance. …

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Federally qualified health centers: An overview

Health center is an all-encompassing term for federally qualified health centers (FQHCs) and FQHC look-alikes; they are a key component of the health care safety net that provided care to more than 20 million Americans in 2011. The Patient Protection and Affordable Care Act of 2010 (ACA) has positioned health centers to play a crucial role in the future health …

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Acute care readmission reduction initiatives: Major program highlights

Beginning October 1, 2012, the Centers for Medicare and Medicaid Services (CMS) began reducing hospitals’ Medicare payments based on 30-day hospital readmission rates. The reductions are based on hospitals’ 30-day risk-adjusted readmission rates relative to national averages. Penalties are imposed for each hospital’s percentage of potentially preventable Medicare readmissions for those conditions. Under the Patient Protection and Affordable Care Act …

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Access to health care in Michigan

Understanding the impact of health care coverage (or the lack of it) on health care access is crucial to improving health care in Michigan. The Center for Healthcare Research & Transformation (CHRT), in partnership with the Institute for Public Policy and Social Research (IPPSR) at Michigan State University, surveyed Michigan residents three times (in 2009, 2010, and 2012) on key …

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Primary care capacity and the Affordable Care Act: Is Michigan ready to expand Medicaid coverage?

Since one of the most immediate questions facing the State of Michigan is whether to expand Medicaid coverage, this issue brief focuses specifically on one area of inquiry—Michigan primary care physicians’ capacity to serve new patients in both Medicaid and the private insurance market. In the fall of 2012, the Center for Healthcare Research & Transformation (CHRT), in partnership with …

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Affordable Care Act: 2013 implementation timeline

The timeline below details provisions and deadlines for the Patient Protection and Affordable Care Act (ACA) scheduled during the 2013 calendar year. Not all dates are set by law and some are subject to change pending the regulatory process. Since its passage in March 2010, many parts of the Affordable Care Act have already taken effect. However, 2013 is a …

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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) is a comprehensive law with the potential to affect the health of Americans in many ways. This issue brief focuses on ACA grants that were awarded during a shortened fiscal year 2010 (March 23, 2010 to September 30, 2010) and fiscal year 2011 (October 1, 2010 to September 30, 2011). This brief …

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Intensity-modulated radiation therapy for breast and lung Cancer: A review of use, cost, clinical evidence, and safety

Intensity-Modulated Radiation Therapy (IMRT) is a type of radiation therapy that uses inverse-planning tools to derive beamlets with variable intensities within each beam to deliver highly conformal radiation doses to tumors while reducing radiation doses to healthy tissues. Its ability to reduce the radiation dose to surrounding tissue means that higher doses can be given to tumors without increasing the …

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