October 8, 2013
Cynthia Canty, host of Michigan Radio’s Stateside, speaks with CHRT Director Marianne Udow-Phillips about the Michigan Health Insurance Exchange one week after its official opening on Oct. 1.
October 6, 2013
Detroit Free Press:
CHRT Health Policy Analyst Josh Fangmeier and Paul Duguay, deputy director of the Lansing-based Michigan Association of Health Plans, answer health reform questions from Detroit Free Press readers.
October 6, 2013
WDIV Channel 4:
CHRT Director Marianne Udow-Phillips joins Frank McGeorge, an emergency room physician at Henry Ford Health System, and Lance Gable, a professor of Public Health Law at Wayne State University, to discuss the Affordable Care Act.
October 1, 2013
Fox 2 News:
The Associated Press cites CHRT'sprojection for the number of enrollees on Michigan's health insurance exchange in 2014 in an article picked up by various media outlets, including Fox 2 News, the San Francisco Chronicle and Kansas City Star.
September 30, 2013
Crain's Detroit News:
Crain's Detroit Business reports on CHRT's Private Health Insurance in Michigan 2008-2011 brief, which shows that employer-sponsored health insurance has been in decline for more than 10 years.
Related CHRT Publication:
Employee Cost-Sharing for Health Insurance in Michigan »
Recent Event November 4, 2013
December 3, 2013
One in five Michiganders report having been diagnosed with depression at some point in their lives. Mental health disorders cause more disability among Americans than any other illness group. Using data from the Cover Michigan Survey and the Michigan Primary Care Physician Survey, both fielded in calendar year 2012, this brief explores issues related to prevalence of mental health disease, specifically depression and anxiety, and the capacity of the Michigan health care system to serve people with these conditions. Overall, it is clear that there is high need for mental health services in Michigan and the capacity to serve those in need is not adequate to the task.
November 27, 2013
Most Americans obtain health insurance coverage through their employer. As a result, it is in the interest of employers to promote a healthy, productive workforce as well as to moderate health care spending. Recently, many employers that provide health insurance coverage have turned to wellness programs to try to achieve both goals. The Patient Protection and Affordable Care Act (ACA) also includes several provisions to further encourage small and large employers to offer such programs. While it is clear that workplace wellness programs are becoming more prevalent, it is less clear whether they are actually achieving their goals of improving health and/or reducing benefit costs. This report describes common elements of wellness programs and reviews the research findings to date on their effectiveness.
November 27, 2013
Many employers use cost-sharing in their health insurance benefit designs as a means to reduce costs and, for some designs, encourage improved enrollee health behaviors. This paper summarizes the literature on the impact that three commonly used benefit designs have on cost, use of services, and health status. Overall, the research concludes that increased cost-sharing can significantly reduce costs for employers—often at the expense of increasing out-of-pocket costs for enrollees—but has not shown an adverse effect on health for the average enrollee. However, across-the-board cost-sharing reduces the use of both highly effective and less effective treatments and has been shown to adversely affect those who are sicker and have lower incomes. A full summary of the literature and definitions of the various benefit approaches is included.
November 11, 2013
At least in part in response to the health coverage changes of the Affordable Care Act (ACA), many health plans are making significant changes to products that they plan to offer in the employer and individual market. While insurers were already moving away from paying for volume and toward paying for value prior to health reform, the ACA has been a catalyst for greater development of an array of health plan products. Individuals and small businesses may now purchase coverage on the individual insurance exchange and on the Small Business Health Options Program (SHOP) exchange, respectively. The majority of plans offered in Michigan on both the individual and SHOP exchanges are limited or narrow network plans. This brief focuses on three growing categories of health plan products and provider arrangements in the commercial market.
August 30, 2013
Under the Affordable Care Act (ACA) 25 million Americans are expected to obtain health care coverage by 2019. Many of those who are expected to get coverage under the ACA will either receive subsidies through health insurance exchanges to help make coverage more affordable or will be covered under an expanded Medicaid program. The federal government will fund the premium subsidies along with the majority of the cost of the Medicaid expansion. The Congressional Budget Office estimates that these coverage expansions will require $1.2 trillion in new federal spending over the period 2013–2022. The ACA offsets this new spending with reductions in other federal spending and revenues from new taxes and fees. Approximately half of the offset occurs through reductions in spending to providers of care or limitations to tax deductions/credits, with the remainder offset through new taxes and fees. This brief describes these new taxes and fees and their likely impact on consumers.
July 8, 2013
This brief, the second from Cover Michigan Survey 2013 (fielded third quarter of 2012), describes how satisfied Michiganders reported being with their source of health coverage in 2012 and the experiences and factors that were associated with coverage satisfaction. Respondents with individually-purchased insurance were least satisfied with their coverage as well as least concerned about losing their coverage, while those with Medicaid were most satisfied and most concerned about losing coverage. Negative experiences with coverage played a large role in respondents’ reported satisfaction with their coverage.
June 3, 2013
The Patient Protection and Affordable Care Act (ACA) is expected to increase access to affordable health insurance through a variety of provisions, many of which relate to employer-sponsored health coverage. A previous CHRT report details how the ACA impacts both midsize (100 to 1,000 employees) and large (more than 1,000 employees) firms, but certain provisions uniquely affect small firms (fewer than 100 employees), which represent 78% of private-sector firms in Michigan. In general, small firms will have to decide whether or not to offer health coverage, but this decision and its impact may not be so clear cut. Various incentives and penalties are built into the ACA to persuade more small businesses to offer coverage, but these levers are not applied uniformly across all small firms. Many of the provisions relevant to small firms depend on a number of variables, and small employers will have to first understand their own specific characteristics before understanding the impact of the ACA.
March 18, 2013
Understanding the impact of health care coverage (or the lack of it) on health care access is crucial to improving the picture of health care in Michigan. The Center for Healthcare Research & Transformation (CHRT), in partnership with the Institute for Public Policy and Social Research at Michigan State University, has surveyed Michigan residents three times (in 2009, 2010, and 2012) on key issues relating to health care coverage, access to care, and health status. The latest survey, Cover Michigan Survey 2013, was fielded in the third quarter of 2012. This report compares data from 2010 and 2012 and focuses on one aspect of that survey: the relationship between coverage status and access to care. Future reports will cover other aspects of health care in Michigan.
Updated February 12, 2013
Following the U.S. Supreme Court's decision to uphold the constitutionality of the Patient Protection and Affordable Care Act (ACA), efforts continue at the state and federal levels to prepare for implementation of key provisions of the ACA scheduled to take effect in 2014. This flow chart provides a high-level picture of the ways that people will obtain health coverage in 2014, specifically in states that adopt the ACA's expansion of Medicaid eligibility, reflecting the complexity of the public/private hybrid of U.S. health care coverage retained by the ACA.
Updated February 12, 2013
Since its passage in March 2010, many parts of the Patient Protection and Affordable Care Act (ACA) have already taken effect. However, 2013 is a significant year for ACA implementation because of health insurance coverage expansions through Medicaid (in participating states) and the insurance exchanges take effect on January 1, 2014. In addition to those provisions, health plans, providers, employers, and consumers all face a variety of provisions that begin in 2013. This timeline details provisions and deadlines scheduled during the 2013 calendar year.
January 28, 2013
In the fall of 2012, the Center for Healthcare Research & Transformation (CHRT), in partnership with the Child Health Evaluation & Research Unit (CHEAR) at the University of Michigan, conducted a statewide survey of primary care physicians. The purpose of the survey was to understand the challenges and opportunities primary care physicians are facing in their practices in this era of health care reform. 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. The bottom line of the survey is that primary care physicians in Michigan overwhelmingly anticipate having capacity to serve more patients with all forms of health coverage, including Medicaid.