Publications

Publications

Telehealth, online, virtual

Telehealth services have expanded to address COVID-19 emergency. Let’s preserve the most effective innovations.

Over the past decade, telehealth services have been on the rise, in part due to the fact that more and more states are adopting telehealth-friendly policies. But by 2019, the proportion of U.S. consumers using telehealth services was still only about 10 percent. In light of the COVID-19 emergency, national Medicare and Michigan Medicaid and commercial plans have responded with …

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COVID-19 rapid response brief: Mitigating the impact of COVID-19 on persons in poverty – strategies to consider

Amid an ever-changing COVID-19 crisis, the communities that have historically been segregated by income and race are struggling. The effects of systemic racism and poverty, reduced economic mobility, and the high cost of medical care are compounding inequities. To reduce the spread of COVID-19, social determinants of health–correlates of poverty–must be examined and addressed. While the broader economic and societal …

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covid-19, shelter, hotel

COVID-19 rapid response brief: Safe, temporary shelter for homeless populations during the pandemic

Throughout the COVID-19 crisis, staff members at the Center for Health and Research Transformation (CHRT) have been conducting rapid response research for Michigan policy leaders who are working proactively to protect vulnerable communities across the state. In this analysis for county-level commissioners, we outline some of the strategies state and local governments are deploying to provide alternate shelter spaces and …

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covid-19, thinking

COVID-19 rapid response brief: Meeting the behavioral health needs of Michigan’s prison population

Throughout the COVID-19 crisis, staff members at the Center for Health and Research Transformation (CHRT) have been conducting rapid response research for Michigan policy leaders who are working proactively to protect vulnerable communities across the state. In this analysis for the Michigan Department of Health and Human Services, we explore best practices for meeting the behavioral health needs of Michigan’s …

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covid-19, elderly, nursing

COVID-19 rapid response brief: Best practices for protecting populations in nursing homes, long-term care settings

Throughout the COVID-19 crisis, staff members at the Center for Health and Research Transformation (CHRT) have been conducting rapid response research for Michigan policy leaders who are working proactively to protect vulnerable communities across the state. In this analysis for the Michigan Department of Health and Human Services, we explore best practices for supporting populations in long-term care settings such …

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Lost insurance in COVID-19 crisis? Act quickly to get ACA coverage. Already uninsured? In 38 states, including ours, it’s complicated.

Michigan Governor Gretchen Whitmer has joined with governors from 11 other states on the federally facilitated exchange to urge the federal government to reopen the Affordable Care Act health insurance marketplace in light of the COVID-19 pandemic. For the 38 states that use the federally-facilitated Healthcare.gov marketplace, including Michigan, only the federal government can open the marketplace to provide for a new open enrollment …

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What local health departments need to know about CARES Act funding and policy opportunities for COVID-19 response

Throughout the COVID-19 crisis, Center for Health and Research Transformation (CHRT) staff members have been conducting rapid response research for Michigan policy leaders who are working proactively to protect vulnerable communities across the state. In this analysis for the Michigan Department of Health and Human Services, we explore funding and policy opportunities in the 2020 CARES Act, signed into law …

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data health insurance

Health Insurance Marketplace: Michigan 2020 rate analysis finds increased choice, decreased rates, federal policy impact

The Health Insurance Marketplaces created under the Affordable Care Act (ACA) weathered several years of volatility and uncertainty at the federal level, but 2020, like 2019, was a year of stability in the Michigan Marketplace. Following a tumultuous 2017 marked by Congressional “repeal and replace” debates, important administrative changes, and the termination of cost-sharing reduction payments to insurers, Michigan and …

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Lack of behavioral health workers in rural america

Recruiting and retaining behavioral health workers in rural America: Our report and action guide

In the U.S., there are not enough behavioral health workers to meet the demand for mental health and substance use services, particularly in rural areas. Over the past year, the Center for Health and Research Transformation (CHRT) has worked closely with the University of Michigan’s Behavioral Health Workforce Research Center (BHWRC) to explore the approaches states have taken to address …

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A primer on Michigan’s community mental health system: A report for the Ethel and James Flinn Foundation

Michigan’s community mental health (CMH) system serves more than 300,000 people: Approximately 155,000 adults with serious mental illness, 51,000 children with serious emotional disturbance, 50,000 people with intellectual or developmental disabilities, and 73,000 people with substance use disorder. These community mental health services are funded by Medicaid, state general funds, block grants, and local funds. Approximately half (49 percent) of …

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