Affordable Care Act
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 …
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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 …
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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 …
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Advancing the Profession and Sustainability of Community Health Workers
Community Health Workers (CHWs) strive to bridge gaps between traditional healthcare providers and the communities they serve, but the community health worker profession faces several challenges to realizing its full potential. In the fall of 2017, the Center for Healthcare Research and Transformation (CHRT) published an issue brief that focused on the ways State Innovation Model (SIM) grants have helped …
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Changes in Primary Care Physicians’ Patient Characteristics Under the ACA
When the Affordable Care Act (ACA) passed in 2010, health analysts expressed concerns that the expansion in coverage, predominantly through Medicaid and the Health Insurance Marketplace would overload the health system and cause problems
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Health Insurance Marketplace in Michigan 2018: Rate Analysis
In 2017, the federal government took several regulatory and administrative actions that affect the health insurance marketplaces created under the Affordable Care Act (ACA). At the same time that Congress considered legislative proposals to repeal and replace the ACA, the U.S. Department of Health and Human Services (HHS) promulgated new regulations that changed annual open enrollment dates and announced the …
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Revisioning the Care Delivery Team: The Role of CHWs within State Innovation Models
The Affordable Care Act (ACA) promoted the broader use of Community Health Workers (CHWs) through a number of initiatives designed to reward health outcomes and value rather than paying providers by volume. One prominent ACA initiative under the Center for Medicare and Medicaid Innovation (CMMI) was the State Innovation Model (SIM) grants to states to design and test new payment …
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Changes in Payer Mix for Michigan Primary Care Physicians: The Impact of Medicaid
After Michigan’s Medicaid expansion, the state’s Medicaid population increased from 1.95 million in March 2014 (19 percent of the population) to 2.4 million in December 2016 (24 percent of the population). As a result, Medicaid has become a substantial part of Michigan primary care physician (PCP) practices. Policy changes related to Medicaid should take into account the breadth of impact …
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Comparing Key Provisions: Affordable Care Act, American Health Care Act, and the Graham-Cassidy Proposal
In July 2017, the United States Senate rejected a series of proposals to repeal and replace the Affordable Care Act (ACA). On September 13, 2017, Senators Lindsey Graham and Bill Cassidy introduced a new proposal to repeal and replace the ACA. The Graham-Cassidy proposal retains some similarities to the American Health Care Act, which passed the U.S. House of Representatives …
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The impact of the ACA on community mental health and substance abuse services: Experience in three Great Lakes states
The Affordable Care Act (ACA) allowed states to expand Medicaid coverage to low-income childless adults, many of whom receive specialty mental health and substance use services through community mental health systems. Leading up to the passage of the ACA, community mental health providers and their professional associations were generally supportive of expanding Medicaid under the ACA. Medicaid covers specialty services …
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