IHPI Informs
Policy-Relevant Research.
Policy-Focused Impact.
DECEMBER 2019


When the state of Michigan expanded its Medicaid program to provide health coverage to more low-income residents, its leaders built special features into the plan, different from most states. They wanted to encourage enrollees to understand their individual health risks, and incentivize them to prevent future health problems, or find them early.

According to two new studies, by lead author Susan Goold, professor of internal medicine, and senior author Renu Tipirneni, assistant professor of internal medicine, that effort has paid off.

The percentage of enrollees in the Healthy Michigan Plan who saw a primary care doctor in a given year doubled, and many of those visits included a discussion of healthy behaviors that could improve their long-term health, the studies show.
Susan Goold, M.D., M.H.S.A., M.A.

Renu Tipirneni,
M.D., M.Sc.
 

 
 
The Latest
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Older teens may have similar risk factors for prescription opioid overdose as adults, a new study suggests.

One in 10,000 adolescents and young adults ages 12 --- 21 overdosed while they had active opioid prescriptions ---- the same rate that's been reported for adult patients within 30 days of surgery ---- according to the findings published in JAMA Pediatrics.

 
 

Women in rural communities experience higher rates of life-threatening complications during or after childbirth than mothers in urban cities, a new study finds.

Maternal deaths and deliveries requiring emergency, life-saving treatment are increasing among both rural and urban residents, up from 109 to 152 per 10,000 childbirth hospitalizations, the new research finds. But rural residents have a 9% greater chance of dangerous childbirth situations than urban peers.


 
 

When they said their wedding vows, many of them promised to stand by one another in sickness and in health.

But a new study suggests that as married couples age and develop chronic conditions, the daily demands of coping with their own health demands and those of their spouse may take a mental toll.

 
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Excerpt from Health Affairs Blog: Aging comes with myriad changes, including changes in health needs and mobility, living arrangements, income, and for some, changes in memory. These challenges can be compounded during a disaster where there may be disruption of life-sustaining services ---- both for individual households and across communities.

Ayanian named editor of JAMA Health Forum

John Ayanian, M.D., M.P.P., director of IHPI and professor of internal medicine, was named the editor of the new JAMA Health Forum, launching in January 2020. The new online information channel will focus on health policy and health strategy issues affecting medicine and health care, and also include health policy articles and multimedia content from across JAMA and the JAMA Network journals.

 

H. Luke Shaefer, Ph.D., professor of social work and director of Poverty Solutions, has been named special counselor to the director of the Michigan Department of Health and Human Services (MDHHS).

 


Valerie Vaughn, M.D., M.Sc., is a practicing hospitalist and health services researcher. Her work focuses on improving the safety of hospitalized patients by combating healthcare associated infections and reducing antibiotic overuse ---- particularly at hospital discharge, when overprescribing can be common.

 
 
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The Institute for Healthcare Policy and Innovation is committed to improving the quality, safety, equity, and affordability of healthcare services.

To carry out our ambitious mission, our efforts are focused in four areas:

  • Evaluating the impact of healthcare reforms
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IHPI Informs is published monthly by the University of Michigan Institute for Healthcare Policy & Innovation.

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U-M Institute for Healthcare Policy & Innovation
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Eileen Kostanecki
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Kara Gavin
IHPI Research & Policy Media Relations Manager