At the start of 2018, the U.S. Centers for Medicare and Medicaid Services (CMS) announced a major shift in federal policy that would allow states to request permission to establish, and test the impact of, work and community engagement requirements for able-bodied adults receiving Medicaid health insurance coverage. In the last five months, work requirement proposals have been approved in four states; formal applications have been submitted by seven more; and a number of others are preparing proposals.1 In April, the Michigan State Senate took the first step toward establishing work requirements by passing Senate Bill 897. The Michigan House of Representatives…
CHRT produces issue and survey briefs on a wide range of health and health care topics, including:
- Hospital and health system costs in the Midwest
- Prevalence of mental health disorders and access to mental health providers
- Changes in health care coverage and access to care under the Affordable Care Act (ACA)
- The effects of the ACA on employers in Michigan
- Michigan consumers’ satisfaction with health care coverage
- Prescription opioid use in Michigan
Scroll through our published briefs below, or search by key words or topics using the search bar to the left.
The Centers for Medicare and Medicaid Services is rolling back regulations around rate increases, essential health benefits, health insurance navigators, and more, for insurers offering Qualified Health Plan coverage on the Health Insurance Marketplace in 2019. In a new fact sheet, CHRT compares the current rules and regulations to the changes that go into effect in 2019—with a special focus on Michigan. Here are just a few highlights: Rate increases under 15 percent will no longer require review; Simple choice standardized plans will be eliminated; and Consumer cost-sharing limits will increase by 7 percent. These changes will impact Michigan consumers as soon as November…
The Bipartisan Budget Act was signed into law on February 9, 2018. While the main purpose of the legislation is to temporarily fund the federal government through March 23, 2018, it also includes an agreement to raise the caps on domestic and military spending for the next two years. The legislation includes many health care policies, as well. The major policies are described below. To read the full brief, click on the image.
Editor’s Note: CHRT updated this fact sheet Jan. 12, 2018 to include more recent Medicare beneficiary numbers, updated information on PAYGO, and reflect that the conference report is now law. Congress is currently debating legislation to reform the tax code. The Tax Cuts and Jobs Act passed the U.S. House of Representatives on November 16, 2017, and an amended version passed the U.S. Senate on December 2, 2017. Congress reconciled the differences between the two bills in a compromise conference report. While the purpose of the legislation is to reduce tax rates for businesses and individuals, it includes several major health care…
Beginning last month, both President Trump and Congress began taking steps to repeal the Affordable Care Act (ACA). However, a single replacement strategy has not yet emerged. In a new one-page fact sheet, CHRT summarizes the most developed ACA repeal and replacement proposals offered to date and outlines the tentative replacement process. See CHRT’s companion piece, Select Affordable Care Act Replacement Plans and Implications, for a detailed table summarizing the key features and implications of the most developed full ACA repeal and replacement plans offered to date.