Two new studies on Michigan's Medicaid expansion

Two IHPI teams have published papers in recent days on the impact of the Healthy Michigan Plan, the state's unique form of Medicaid expansion that has enrolled more than 600,000 Michigan residents in the last two years. Their results could hold importance for states that have not yet expanded Medicaid.

Primary care: A new "secret shopper" study in the  American Journal of Managed Care finds that primary care access actually improved for all Medicaid participants, and did not change for those with private insurance, in the first year after expansion.

Hospitals: In a study published in the Journal of the American Medical Association, nearly all of Michigan's 130 hospitals experienced a drop in the number of uninsured patients they cared for, and a rise in the number of Medicaid participants, while not seeing a rise in total number of patients, in the first nine months after expansion.

In addition, preliminary data on the impact of the Healthy Michigan Plan from IHPI's state-funded, CMS-mandated evaluation effort will be presented at the AcademyHealth meeting this weekend in Boston. See below in "Events" for the list of IHPI posters and presentations.
Four paths to the end of life --- one far more expensive
than the others --- emerge in new Medicare study

Last-ditch, high-tech, heroic treatments. Days in the hospital intensive care unit. You might think this is what makes dying in America so expensive, and that it's where we should focus efforts to spend the nation's healthcare dollars more wisely. But a new U-M study finds that for nearly half of older Americans, the pattern of high spending on healthcare was already in motion a full year before they died.

A t end of life, traditional Medicare patients are more sick and frail than Medicare Advantage patients

A new U-M study in the Journal of the American Medical Association Internal Medicine finds nearly one in three American senior citizens choose to get their government-funded Medicare health coverage through plans run by health insurance companies. The rest get it straight from the federal government. But if health policy decision-makers assume the two groups are pretty much the same, they're mistaken, a new U-M study finds.

Catheter-associated urinary tract infections drop in general hospital population after teams get training, checklists and data

New study results published in the New England Journal of Medicine and funded by the federal  Agency for Healthcare Research and Quality (AHRQ), s how it may be possible to simultaneously reduce catheter use and urinary tract infections (UTI) - saving money and suffering. The new findings come from a concerted effort in more than 600 hospitals nationwide, with U-M researchers developing and implementing a toolkit for this national effort.

Sarah Krein, Ph.D., R.N., explains the study and its findings
Sarah Krein, Ph.D., R.N., explains the study and its findings
When it comes to making patients safer, is a hospital's 'safety culture' that important?

A new U-M study finds no connection between scores on patient safety culture surveys and actual improvement in patient infection rates. Overall, hospital units' patient safety culture scores didn't match up with how well the units did on a key patient safety goal: reducing two risky infections that patients can catch during their hospital stay.

Taking control of healthcare costs while optimizing care ---- a view from the consumer side of the equation

In an era of ever-rising healthcare costs, high-deductible health plans (HDHPs) continue to grow in popularity in both group and individual markets. Through a Robert Wood Johnson Foundation grant, a team of IHPI researchers will conduct a nationally representative survey to examine the extent to which consumers enrolled in HDHPs have engaged in certain behaviors to help optimize the value of their out-of-pocket payments.

GOP health plan calls for expanded role for bipartisan-supported V-BID

A white paper released June 22 by U.S. House Republicans recommends allowing for value-based insurance design (V-BID) throughout Medicare Advantage as a potential solution to 'one-size-fits-all' deductibles, copayments, and coinsurance. The recommendation is included among a number of policy proposals aimed at lowering healthcare spending and delivering higher quality care in the Report from the Health Care Reform Task Force. This expanded role of V-BID in the Medicare Program builds on bipartisan legislation that passed in the House last summer (HR 2750), the CMS MA-V-BID demonstration project set to begin in seven states this January, and the inclusion of V-BID principles in Section 2713 of the Patient Protection and Affordable Care Act (ACA) which requires the elimination of consumer cost-sharing for specified preventive care services. The V-BID concept was established at U-M in 2005; learn more from the U-M Center for Value-Based Insurance Design .
ACA boosts coverage for blacks, Hispanics

The Affordable Care Act reduced racial and ethnic disparities in health insurance coverage, although substantial disparities remain, a new study shows. Researchers at U-M and the University of Wisconsin say that while coverage disparities declined, uninsured rates are still much higher for blacks and Hispanics than they are for whites.


In a nationally representative U-M survey of more than 2,000 U.S. adults, three issues emerged as top children's health concerns for this year's presidential candidates: abuse and neglect; alcohol, smoking and substance abuse; and nutrition, hunger and obesity.

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The Institute brings great minds together to address healthcare's biggest challenges. More than 470 investigators come to IHPI from U-M's top-ranked schools of medicine, nursing, public health, engineering, social work, law, business, and public policy, among others, as well as members of affiliated local research organizations.
Delva and Spencer ranked high-impact social work scholars

U-M Professors Jorge Delva, Ph.D., M.S.W., and Michael Spencer, Ph.D., M.S.S.W., were ranked high-impact scholars (SSWR fellows) in the article, "High-Impact Social Work Scholars: A Bibliometric Examination of Society for Social Work and Research and American Academy of Social Work and Social Welfare Fellows," which was published in Research on Social Work Practice.

Diabetes self-management program sustainability the focus of $3.2 million grant

Under a five-year, $3.2 million grant from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), a U-M team led by Gretchen Piatt, Ph.D., M.P.H., assistant professor of learning health sciences, will partner with a network of 21 churches in Detroit and Flint, Michigan, and Toledo, Ohio, to help develop sustainable, responsive diabetes support programs that offer a new approach to addressing diabetes-related disparities in underserved communities.

Friese selected for RWJF Health Policy Fellows Program

Christopher Friese, Ph.D., R.N., M.A., M.S., AOCN, FAAN, U-M assistant professor of nursing, is one of eight health professionals named to the 2016  - 2017 class of Robert Wood Johnson Foundation (RWJF) Health Policy Fellows at the National Academy of Medicine (NAM).

American Academy of Sleep Medicine Names Chervin President

Ronald Chervin, M.D., M.S., U-M professor of neurology, became the 31st president of the American Academy of Sleep Medicine (AASM) board of directors. Chervin was inducted into the role during SLEEP 2016, the 30th anniversary meeting of the Associated Professional Sleep Societies LLC (APSS). He will serve a one-year term.

Dimick selected chair of NIH Health Services Organization & Delivery Study Section

Justin Dimick, M.D., M.P.H., U-M professor of surgery, and director of the Center for Healthcare Outcomes & Policy, was selected to serve as the new chair of the NIH Health Services Organization and Delivery Study Section (HSOD). The HSOD reviews health services research studies that include multidisciplinary investigations of the organization, delivery, utilization, and outcomes of health services.

IHPI at AcademyHealth 2016

Visit our quick guide webpage with all presentations, posters, and panels featuring IHPI members and their teams at the 2016 AcademyHealth Annual Research Meeting in Boston, Mass. Stop by the IHPI Booth in the exhibit hall.

Five years ago: IHPI recognized by the U-M Regents

The Institute for Healthcare Policy & Innovation was  approved by the Board of Regents on May 19, 2011, and officially recognized as an institute on June 1, 2011. The original cohort of faculty members was 318 individuals. Today IHPI membership is more than 470 strong.

Check out more historic milestones in U-M health professional education, health services research, and health policy through our interactive timeline.
The Institute for Healthcare Policy and Innovation is committed to improving the quality, safety, equity, and affordability of healthcare services.

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IHPI Informs is published monthly by the University of Michigan Institute for Healthcare Policy & Innovation.
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