Publications

Publications

The Impact of the ACA on Community Mental Health and Substance Abuse Services: Experience in 3 Great Lakes States

The Affordable Care Act (ACA) allowed states to expand Medicaid coverage to low-income childless adults, many of whom receive specialty mental health and substance use services through community mental health systems.  Leading up to the passage of the ACA, community mental health providers and their professional associations were generally supportive of expanding Medicaid under the ACA.  Medicaid covers specialty services …

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Decrease in Hospital Uncompensated Care in Michigan, 2015

  Introduction The Affordable Care Act (ACA) expanded access to health insurance coverage for Michigan residents in 2014 through the creation of the Health Insurance Marketplace and the expansion of the Medicaid program. Since then, Michigan has experienced large decreases in the number of adults who lack health insurance, delay necessary care, and have trouble paying their medical bills.[footnote]E. Austic, …

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Hospital Uncompensated Care in the United States, 2015 – Comparison of Midwest States

  Introduction Since the launch of health insurance coverage expansion in 2014 under the Affordable Care Act (ACA), Michigan and other states have experienced large decreases in the number of adults who lack health insurance, delay necessary care, and have trouble paying their medical bills.[footnote] Austic, E. Lawton, M. Slowey, M. Riba, and M. Udow-Phillips, Changes in Health Care Cost …

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Comparing Key Provisions: Affordable Care Act, American Health Care Act, and Better Care Reconciliation Act

Editor’s Note: CHRT revised the following table (originally published June 27, 2017) to reflect both the U.S. Senate’s July 13 revision of its Better Care Reconciliation Act (BCRA) and the Congressional Budget Office’s score of the revised BCRA.   On June 22, 2017, Senate Republicans released a discussion draft of the Better Care Reconciliation Act, their proposal to repeal and replace the Affordable …

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American Health Care Act: Key Provisions and Implications, June 2017 Update

In March 2017, House Republicans unveiled the American Health Care Act (AHCA), their proposal to replace the Affordable Care Act (ACA). On May 4, the U.S. House of Representatives passed AHCA by a vote of 217-213. On May 24, the U.S. Congressional Budget Office projected that under the House-passed version of AHCA, 14 million more Americans would be uninsured in …

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American Health Care Act: Key Provisions and Implications, May 2017 Update

In March 2017, House Republicans unveiled the American Health Care Act (AHCA), their proposal to replace the Affordable Care Act (ACA). On May 4, the U.S. House of Representatives passed AHCA by a vote of 217-213. On March 13, the U.S. Congressional Budget Office projected that under AHCA (as introduced), 14 million Americans would lose their health insurance in 2018, …

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April 2017 HHS Rule and Other Proposals to Stabilize the Health Insurance Marketplaces

  Health plans are now determining whether to offer coverage in the Marketplace this fall and if so, which products and rates to offer. While there is continuing discussion about repealing and replacing the Affordable Care Act (ACA), legislative action does not appear imminent. To assure a robust ACA market, many have advocated for “repairs” to the ACA. These ideas …

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American Health Care Act: Key Provisions and Implications in Michigan

In March 2017, House Republicans unveiled the American Health Care Act (AHCA), their proposal to replace the Affordable Care Act (ACA). On March 13, the U.S. Congressional Budget Office projected that under the AHCA, 14 million Americans would lose their health insurance in 2018, with the number of uninsured rising to 24 million by 2026. The following summarizes key AHCA …

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American Health Care Act: Michigan Impacts

According to the Congressional Budget Office (CBO), the American Health Care Act would have differential impacts on individuals depending on factors such as age, income, geographic location, plan choice, and overall health. In general, the CBO concluded that people who are older, sicker, or receive their coverage through Medicaid will likely see higher costs or lower levels of benefits, while …

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Changes in Health Care Cost Barriers under the Affordable Care Act in Michigan

  The Affordable Care Act (ACA) not only significantly expanded access coverage starting in 2014, but also sought to improve access to services by reducing cost barriers to care and requiring coverage of certain “essential benefits”. For example, the ACA established patient annual out-of-pocket cost maximums; eliminated patient cost sharing for certain preventive care services; and prohibited annual and lifetime …

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