In Realizing the value of community health workers--new opportunities for sustainable financing, a New England Journal of Medicine Perspectives piece, CHRT's SIM 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 cost-effective for managing certain chronic health conditions among vulnerable populations,” write Lapedis and colleagues Adrienne Lapidos and Michele Heisler. Drawing lessons from a CHRT research report on advancing the profession and sustainability of community health workers, the authors write…
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.
Democratic lawmakers in Congress have made a variety of proposals to strengthen or reform the United States health care system. These proposals range from building upon the Affordable Care Act (ACA) to fully transitioning the U.S. to a single-payer system. This fact sheet categorizes and compares the major provisions of these proposals, including possible implications for consumers, health care providers, and federal and state governments.
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 latest survey also asked physicians about care continuity and Medicaid work requirements legislation (A full analysis can be found here). PCPs are a key component of a successful, high quality healthcare system. As the baby-boomer generation ages and the needs of this cohort increase, there is ongoing concern about how well the healthcare workforce can meet the increasing demands of an older and presumably sicker population. Additionally, primary care is on the front lines of improving…
(Download our 2018 Annual Report) Every day, CHRT works with a dozen community partners, health systems, and health plans to address the social determinants of health in Livingston and Washtenaw Counties. How? By applying and testing evidence-based best practices; by working to integrate health care and social services; and by fostering a culture of continuous improvement. Our 2018 annual report, “From healthcare to health,” highlights this work and more—much more—demonstrating the breadth and scope of CHRT’s current activities, and our organization’s dramatic evolution since 2007. By the numbers, this past year found us managing 22 projects; supporting 11 social and medical care…
Access to Health Care in Michigan – 2018 Cover Michigan Survey The Center for Health and Research Transformation’s (CHRT) 2018 Cover Michigan Survey asked Michigan residents about their experiences in accessing health care (see the entire brief, Access to Health Care in Michigan), specifically how easy or difficult it was to get appointments with different providers. The survey found that two factors—the presence of primary care providers (PCP), and whether or not people had a Medical Home—figured prominently in reported ease of access to care.
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. In June 2018, Michigan enacted work requirements for many enrollees in the Healthy Michigan Plan (HMP), Michigan’s expanded Medicaid program for low-income adults. Beginning in January 2020, HMP enrollees under age 63 will be required to report 80 hours of work per month or obtain…
The health insurance marketplaces created under the Affordable Care Act (ACA) have weathered several years of volatility and uncertainty. Following a tumultuous 2017 marked by Congressional “repeal and replace” debates, important administrative changes, and the termination of cost-sharing reduction payments to insurers, Michigan and other states experienced steep premium increases for 2018. One year later, premiums in Michigan’s health insurance marketplace have stabilized, with increases for 2019 far lower than they have been in recent years. Michigan also experienced its first new insurer entering the market since 2015. With financial assistance tied to premium levels, low premium increases for 2019…
Our 2018 Cover Michigan Survey asked people why they switched health plans. Here’s what we found:
If you could change one thing about your health plan, what would it be? Here’s how health care consumers responded to CHRT’s 2018 Cover Michigan Survey questions:
CHRT’s Cover Michigan Survey found that when people in Michigan choose a health insurance plan, cost and physician choice are the most important considerations. The majority said both factors were very important, with a slightly higher number of people reporting cost mattered more. Click the image at right to view the infographic.
Introduction 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 12. Detail on the Cover Michigan Survey and analysis methodology can be found on CHRT’s website. In addition to findings on overall use of health care benefits, this brief focuses on three key areas: dental and vision, reproductive health, and mental health care. A full analysis can be found here. Executive Summary Nearly all Michiganders used some kind of health benefit over the last year. To understand differences in the use of health…
Not everyone suffers from chronic pain in Michigan, but many people do. Our Cover Michigan Survey found that more than 35 percent of the state's residents say they experienced chronic pain which limits their lives or work within the last year. These infographics from the Center for Health and Research Transformation are based on consumer response, and show how many people report suffering from chronic pain, along with who is most affected. Click the images at right to view the PDFs.