Publications

Publications

Medicaid

Insured and uninsured on a form, with uninsured circled in red

Concerns about Medicaid redetermination in Michigan: Insights from physicians

In March 2023, with the end of the Public Health Emergency initiated under the Covid 19 pandemic, Michigan reinstated redeterminations for Medicaid eligibility, resulting in the disenrollment of over 687,000 residents as of February 2024—82% of which were due to missing documentation or missed notifications. The Center for Health & Research Transformation (CHRT) surveyed Michigan physicians to gauge their concerns …

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Housing crisis is magnified for people with physical disabilities. Here’s how we can help.

The U.S. housing crisis is worse for people with physical disabilities for two reasons. First, affordable housing is a challenge because people with physical disabilities are twice as likely to be low income. Second, accessibility is a challenge because significant and costly renovations are often required for people with physical disabilities. Those with physical disabilities are disproportionately impacted by the …

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Insurance coverage paperwork stamped

Clear language and human-centered design can help Medicaid enrollees keep their coverage

Michigan’s expanded Medicaid program, the Healthy Michigan Plan (HMP), has provided health insurance coverage to hundreds of thousands of Michiganders since its launch in April 2014. However, in 2019, the state passed a work requirements bill, which introduced more steps needed to retain HMP coverage. The bill asked HMP enrollees to report a minimum of 80 hours of work per …

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Reflections on the ACA at 10: Marianne Udow-Phillips presents “the longview” in Findings magazine

In The Longview: Reflections on the ACA at 10, CHRT Founding Executive Director Marianne Udow-Phillips takes a retrospective look at the success of the ACA at 10 years old – noting the ACA’s clear accomplishments and pointing out how the ACA has fundamentally altered the way health care is viewed and discussed in the US. “The topline ACA statistics are …

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How to fund community health workers: Lapedis in New England Journal of Medicine

In Realizing the value of community health workers–new opportunities for sustainable financing, a New England Journal of Medicine Perspectives piece, CHRT project manager Jeremy Lapedis and colleagues from Poverty Solutions and the Institute for Healthcare Policy and Innovation describe new mechanisms for financing community health workers far into the future. “CHW-led interventions have been shown to be both effective and …

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Michigan Physician Survey: Primary care physician perspectives and practice trends

CHRT has been surveying primary care physicians (PCPs) in Michigan since 2012—tracking key trends in practice patterns, capacity, payer mix and care team composition. Our 2019 Michigan Physician Survey also asked physicians about care continuity and Medicaid work requirements legislation. PCPs are a key component of a successful, high quality healthcare system. As the baby-boomer generation ages and the needs …

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Projected impacts of Medicaid work requirements: An overview of current state proposals

As of January 2019, 14 states have submitted proposals to the federal government requesting permission to establish work requirements in their Medicaid programs. To date, the U.S. Centers for Medicare and Medicaid Services (CMS) has approved Medicaid work requirements for seven states, and two states (Arkansas and Indiana) have begun implementing these requirements for Medicaid beneficiaries. This overview examines the …

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Financial Graph

Health Insurance Marketplace 2019: Rate Analysis

December 15 is the deadline to get health insurance coverage through the Affordable Care Act. People shopping for health coverage willl be interested to know that premium increases in 2019 are far lower than in recent years, and in some rural and urban Michigan counties certain levels of coverage cost less than last year. Get the details, including county-by-county rates, …

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Cover Michigan Survey: Use of Health Care Benefits in Michigan

Data from the Center for Health and Research Transformation’s (CHRT) 2018 Cover Michigan Survey show health benefits that Michiganders with health insurance coverage have used in the past year (1)Survey participants were asked whether or not they or other family members covered by their plans used each health care benefit in the past 12 months.. Detail on the Cover Michigan …

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Michigan at a crossroads: CHRT highlights key health policy issues for the incoming gubernatorial administration

The Michigan government has jurisdiction over a wide array of health policy issues. From the regulation of insurance products, to oversight of the state’s Medicaid program, to investing in local public health efforts, Michigan policymakers craft policies and budgets that impact the health of millions of Michiganders. This brief provides an overview of four key and timely health policy topics: …

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References

References
1 Survey participants were asked whether or not they or other family members covered by their plans used each health care benefit in the past 12 months.