Rate analysis: 2021 ACA Health Insurance Marketplace for Michigan
In 2021, monthly ACA health insurance rates for Michigan’s lowest cost plans on the federal Health Insurance Marketplace decreased, on average. These decreases occurred despite the many uncertainties associated with the coronavirus disease of 2019 (COVID-19). 2021 ACA Health Insurance Marketplace plan options are robust for communities across Michigan. In many counties, rates have declined considerably. These 2021 Marketplace changes …
Read more >
Designing integrated behavioral health services for Medicaid enrollees, background and case studies
A growing number of states are implementing new strategies to better integrate health services and provide holistic care–particularly for Medicaid beneficiaries–with the ultimate goals of improving care coordination and patient outcomes and, in some cases, lowering health care expenses as well. For decades, physical and behavioral health care–including both mental health and substance use disorder treatment–have operated in silos. Too …
Read more >
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 …
Read more >
Protecting individuals with SMI from COVID-19: Best practices for community mental health agencies and clinics
For individuals with a serious mental illness (SMI)—a mental, behavioral, or emotional disorder that interferes with or limits major life activities—the COVID-19 pandemic may present a particular threat. Community mental health agencies and clinics need to be prepared to protect their clients with SMIs from COVID-19 by understanding and following best practices for this unique situation. To slow the spread …
Read more >
COVID-19 rapid response brief: Safe, temporary shelter for homeless populations during the pandemic
Throughout the COVID-19 crisis, staff members at the Center for Health and Research Transformation (CHRT) have been conducting rapid response research for Michigan policy leaders who are working proactively to protect vulnerable communities across the state. In this analysis for county-level commissioners, we outline some of the strategies state and local governments are deploying to provide alternate temporary shelter spaces …
Read more >
A primer on Michigan’s community mental health system: A report for the Ethel and James Flinn Foundation
Michigan’s community mental health (CMH) system serves more than 300,000 people: Approximately 155,000 adults with serious mental illness, 51,000 children with serious emotional disturbance, 50,000 people with intellectual or developmental disabilities, and 73,000 people with substance use disorder. These community mental health services are funded by Medicaid, state general funds, block grants, and local funds. Approximately half (49 percent) of …
Read more >
Managed long-term services and supports: Michigan Department of Health and Human Services research report
In the 2017-2018 state budget, the Michigan Legislature asked the Michigan Department of Health and Human Services (MDHHS) to explore implementing managed long-term services and supports (LTSS). The department hired the Center for Health and Research Transformation (CHRT), Health Policy Matters (HPM), and Public Sector Consultants (PSC) to conduct an analysis of the state’s existing long-term services and supports system …
Read more >
Proposed work requirements for Medicaid in Michigan: June 7, 2018
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 …
Read more >
Setting the stage for the 2019 Health Insurance Marketplace
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. On April 9, 2018, the Centers for Medicare and Medicaid Services (CMS) issued new guidance for insurers offering Qualified Health Plan (QHP) coverage on the Health …
Read more >
Proposed work requirements for Medicaid in Michigan: April 20, 2018
At the start of 2018, the U.S. Centers for Medicare and Medicaid Services 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 early March, Michigan state senators took the first step toward preparing a …
Read more >