Medicaid
Health Insurance in Michigan, 2008 – 2024
Introduction Over the past 16 years, Michigan’s health insurance environment has undergone a significant transformation driven by major policy shifts and demographic changes. This report examines the period from 2008 to 2024, highlighting the impact of the Affordable Care Act (ACA), the launch of the Healthy Michigan Plan, and the response to the COVID-19 pandemic. By analyzing data from the …
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Incorporating Community Voice into a Statewide Initiative, Experiences from the Field
In 2020, the Center for Medicare & Medicaid Services (CMS) awarded the Michigan Department of Health and Human Services (MDHHS) a five-year project to enhance data exchange capabilities and reduce health disparities in Michigan. The Center for Health and Research Transformation (CHRT) joined as a partner to support 7 regional health collaboratives and facilitate a learning community. The project recognized …
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Michigan Medicaid: A primer
Michigan’s Medicaid program provides health insurance coverage for many low-income children and adults. It is a powerful tool for improving the health of Michiganders. In June 2024, over 2.6 million of Michigan’s 10 million residents were enrolled in Medicaid: 1.7 million adults and 946,314 children. Most of Michigan’s Medicaid costs —over 65 percent in 2024—are paid for by the federal …
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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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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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