Michigan Association of Health Plans

2019

November 15, 2019

Surprise Medical Billing Moves Through House Health Policy Committee

A package of bipartisan bills intended to protect consumers from surprise medical billing passed through the Michigan House Health Policy Committee on Thursday, Nov. 8. MAHP supports HB 4459 and HB 4460 which offer comprehensive […]

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October 31, 2019

Molina Healthcare of Michigan and Partners to Give Thousands of New Coats to Area Residents at the HOPE Winter Coat Giveaway in Detroit

One of the largest new coat giveaways of the season will take place on Saturday, November 2, when Molina Healthcare of Michigan and its event partners host the Molina HOPE Winter Coat Giveaway where over 5000 new […]

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October 30, 2019

HAP Ranks Highest in J.D. Power 2019 Member Satisfaction Study

The study measures satisfaction based on six key factors:  billing and payment; cost; coverage and benefits; customer service; information and communication; and provider choice, as well as other key aspects of member engagement.  HAP received […]

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October 24, 2019

Medicaid-eligible individuals getting better health outcomes from managed care delivered by MAHP members

Seniors with low incomes who received Medicare and Medicaid in four regions are benefiting from a managed care approach to their health care needs delivered members of the Michigan Association of Health Plans, according to a new report on […]

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October 23, 2019

Healthy Michigan Plan (HMP) Work Requirements

Starting January 1, 2020, Michigan law requires some people with Medicaid health care coverage through the Healthy Michigan Plan (HMP) to work or do other activities, like job search, for at least 80 hours each […]

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October 23, 2019

Protecting Michigan Patients Against Surprising Medical Bills + How to Take Action

MAHP strongly supports House Bills 4459 and 4460 and Senate Bills 570 and 572 which provide comprehensive protections for Michigan patients against Surprise Medical Bills and strongly encourages our legislature to act quickly to pass […]

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October 23, 2019

UPHP one of the highest-rated health plans in the nation, top in Michigan

Upper Peninsula Health Plan is again one of the nation’s best Medicaid health plans, according to a recent national rating of Medicaid health plans.  The health plan ranks in the top 15 among Medicaid managed-care […]

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October 19, 2019

Couple’s $10 million gift to University of Michigan aims to improve world health

A couple’s $10 million gift to the University of Michigan will aim to empower faculty and students to seek new ways to address health needs of the disadvantaged. The gift from Tadataka and Leslie Yamada […]

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October 18, 2019

For Better Health Guest Column: The importance Of Health Literacy

Sam sat across from his cardiologist at his follow-up appointment, having been discharged one week ago for a congestive heart failure exacerbation. This marked his fourth time this year requiring treatment from the Emergency Department. […]

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October 18, 2019

McLaren Health Plan receives Pinnacle Award from Michigan Association of Health Plans

For the 14th time since 2003 — and the fifth consecutive year — McLaren Health Plan has been awarded a Pinnacle Award from the Michigan Association of Health Plans. Nine Michigan health plans from across […]

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October 18, 2019

Suicide, teens, and men: Mental illness does not discriminate

Mental health does not discriminate. At some point in your life, you may suffer some kind of mental illness. And you wouldn’t be alone. There is a stigma around mental health. And that needs to […]

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October 17, 2019

MDHHS to host statewide meetings on work requirements for Medicaid Expansion

The Michigan Department of Health and Human Services (MDHHS) is taking additional steps in its efforts to preserve coverage for Healthy Michigan Plan beneficiaries by launching regional forums.The goals of the regional forums are increasing […]

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October 17, 2019

Causes of Surprise Medical Bills Examined

Receiving a “surprise” medical bill is a common concern regarding health care and with good reason, a report by the Kaiser Family Foundation says. The foundation—not affiliated with the Kaiser medical provider—said that in a […]

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October 17, 2019

Priority Health launches new app and member account to create simple, personalized experience

Michigan-based health insurer, Priority Health, recently launched a new mobile app and online member account to offer members an easier way to access and manage their health insurance information. Members will be able to view […]

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October 17, 2019

Opioid addiction can be overcome with mindfulness, study suggests

The ancient practice of mindfulness may be a powerful tool in fighting the modern-day epidemic of opioid addiction, new research suggests. In a series of studies, an eight-week course in mindfulness techniques appeared to loosen […]

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October 14, 2019

After losing son to suicide, parents work to close gaps in mental health services for young adults

When it comes to supporting and treating young people who struggle with mental illness, the safety net in Michigan has a lot of holes. Suicide is the second leading cause of death among people ages 15 to […]

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September 26, 2019

MAHP celebrates health plan innovation at 19th Annual Pinnacle Awards

Lansing, Mich. – Nine Michigan health plans from across the state submitted 28 ground-breaking programs to the Michigan Association of Health Plans Foundation Annual Pinnacle Awards, demonstrating creative approaches to innovation in the commercial, Medicare […]

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September 20, 2019

6 Expectations Millennials Have For Their Healthcare

You may have seen recent news headlines proclaiming that millennials are killing napkins. Or that they’re ending plastic drinking straws, the beer industry or even homeownership. While these stories may be a bit extreme, there’s no doubt millennials are shaking […]

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September 17, 2019

75% of Patients Look at Price Transparency Ahead of Care Access

Offering healthcare price transparency has become more important than ever, as more and more patients research nearby hospitals and providers to understand their estimated out-of-pocket healthcare costs, according to new survey data from TransUnion Healthcare. […]

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September 16, 2019

More Evidence Ties Social Media to Mental Health Problems

Adolescents who spend more than three hours a day on Facebook, Twitter, Snapchat or other social media are at increased risk for depression, anxiety, or other internalizing problems, new research suggests. The study did not find […]

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September 16, 2019

Behavioral health grant could have implications for local counties

A program that helps people with serious mental illnesses or emotional disturbances might come to Wexford County. The Michigan Department of Health and Human Services announced recently that the Michigan Health Endowment Fund gave the […]

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September 16, 2019

Legislation targets surprise medical billing

Legislation coming up for consideration in Lansing aims to alleviate so-called “surprise billing” in health care. The bipartisan two-bill package represents an effort in Michigan to rein in a practice that has received heightened attention […]

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September 14, 2019

More Americans go without health coverage

The number of people without health insurance increased from the previous year for the first time since the Great Recession, according to new figures released Tuesday by the U.S. Census Bureau. “The poverty rate went […]

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September 11, 2019

How To Teach Future Doctors About Pain In The Midst Of The Opioid Crisis

The next generation of doctors will start their careers at a time when physicians are feeling pressure to limit prescriptions for opioid painkillers. Yet every day, they’ll face patients who are hurting from injuries, surgical […]

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August 31, 2019

The opioid and fentanyl crisis killed my brother; here’s what every family needs to know

On May 31, 2019, my life swerved off track, fell down the side of a cliff and came crashing down. On that Friday morning, my 21-year-old brother Matt, my best friend and confidant, died. His […]

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August 29, 2019

Doctors Need To Realize That Fear Of Sticker Shock Keeps Patients From Filling Prescriptions, Experts Say

Up to 30 percent of prescriptions don’t get filled because patients don’t know if they’ll be able to afford the drug. When prescribing medication, doctors should take that into consideration, experts say. “The best drug […]

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August 27, 2019

Gov. Whitmer signs executive order to create Michigan Opioids Task Force

Governor Gretchen Whitmer signed an executive order Wednesday to bring together leaders from across state governments, in order to tackle the opioid epidemic. The order was signed on Wednesday, Aug. 21, 2019. It creates the […]

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August 19, 2019

He’s 26 years old but still sees a pediatrician: Why some young adults don’t move on

When Joann Alfonzo, a pediatrician in Freehold, N.J., walked into her office recently she mentally rolled her eyes when she saw her next patient: a 26-year-old car salesman in a suit and tie. “That’s no […]

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August 15, 2019

Everything You Need To Know About Health Insurance In College

Getting ready to go away to college is like the Olympics of back-to-school shopping. Between scoring your own laptop and browsing the most perfect shower caddy for your dorm room, there’s a lot to be […]

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August 6, 2019

Retirement Healthcare Costs: Strategies for Meeting the Challenge

In my last column, we looked at four key elements of healthcare spending risk in retirement–and I hope that rundown didn’t leave you feeling like a deer caught in the headlights. It shouldn’t, because solid […]

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August 4, 2019

Priority Health proposes lower rates for small employers in 2020

Small employers who contract with Priority Health for their employee health benefits could pay slightly less for coverage next year. In a filing with state regulators, the Grand Rapids-based Priority Health proposes to trim rates […]

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August 2, 2019

Tackling Teen Anxiety, Depression: U-M Focuses on Mental Health in Schools

As a counselor at Charlevoix Middle and High School, Karrie Gaffney has seen students struggle to access the mental health care they need. “Oftentimes in our area, for students to simply make an appointment with […]

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July 30, 2019

Hundreds of Thousands of Michigan Residents Lack Behavioral Health Treatment

More than 650,000 Michigan residents with a mental illness and more than 500,000 with a substance use disorder aren’t receiving treatment, according to a new behavioral health access study from Altarum. That’s 38% of residents […]

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July 19, 2019

Michigan health chief: Medicaid work rules will drive up uncompensated care, cost lives

The state’s top health official predicted Thursday that Michigan’s forthcoming work and employment-reporting requirements for low-income adults on Medicaid will lead to more uncompensated care for hospitals and lower life expectancies. Robert Gordon, director of […]

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July 15, 2019

The profound effects of exercise on the brain: A conversation with Dr. John Ratey

John Ratey is an associate clinical professor of psychiatry at Harvard Medical School, as well as the author of numerous article and books, including Spark: The Revolutionary New Science of Exercise and the Brain. In […]

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July 12, 2019

Michigan health centers granted $500K for opioid telemedicine programs

The USDA awarded $500,000 to 25 healthcare facilities across Michigan to help expand the state’s telemedicine services for opioid addiction, Times Union reports. Alpena (Mich.) Community College, a recipient of partial funds, plans to use […]

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July 11, 2019

Commentary: It’s time for Congress to authorize price transparency for prescription drugs

This week, U.S. District Judge Amit Mehta derailed an attempt to fight the high cost of prescription drugs when he blocked a Trump administration regulation that would require pharmaceutical companies to include the price of […]

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July 11, 2019

The biggest medical concern for millennials is …

The biggest medical concern for millennials is mental health. That’s according to Cosmopolitan, which recently polled its readers on the issue. The majority – 52 percent – said mental health was their number one medical […]

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July 10, 2019

24 Michigan counties are at “high-risk” in the national opioid epidemic

As Michigan joins the nation in seeking solutions to the opioid crisis, researchers at the University of Michigan have come up with an important tool for policymakers and leaders. It’s a study that identifies counties […]

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July 9, 2019

Surprise Billing: Another Healthcare Market Failure

Patients often assume that their health insurance will cover emergency care or major procedures. They’re caught by surprise when they find out that they’re not fully covered. Of all the euphemisms in U.S. healthcare billing […]

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July 9, 2019

Here’s what health care really will cost you in retirement

You won’t pay for health care in retirement with one lump sum. That’s the way these expenses are often presented, though, and the amounts are terrifying. Fidelity Investments, for example, says a couple retiring in […]

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July 9, 2019

Improving access to mental health services is key to reversing US life expectancy decline

“Although the world is full of suffering, it is also full of the overcoming of it.” – Helen Keller This past month was Mental Health Awareness month, yet just having one month to address an […]

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July 9, 2019

Opinion: We need price transparency for medicines

As a U.S. Congressman, I hear from hundreds of constituents every month on a variety of important issues. One of the most frustrating and heartbreaking concerns for those of us who live in South Carolina […]

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July 3, 2019

State lawmakers seek to improve drug-pricing transparency

New Jersey lawmakers are looking to increase transparency when it comes to the prices of of pharmaceuticals marketed in the Garden State. Their goal: boost competition among drug makers in ways that will lower consumer […]

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July 3, 2019

See if your child is eligible for free Michigan dental care from Medicaid

Are you or your children eligible for free dental care in Michigan? Bridge Magazine can link to you to several helpful resources below. More than 420,000 Michigan’s low-income youngsters and teens went without dental care […]

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July 3, 2019

GRPS launching in-school mental health services

Grand Rapids Public Schools is launching in-school mental health services in three of its schools. Alger Middle School, Riverside Middle School and City High/Middle School each are receiving a two-year grant of $100,000 from the […]

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July 3, 2019

Health Alliance Plan to acquire Detroit-based Medicaid health plan

Detroit-based managed-care company Health Alliance Plan is jumping back into the Medicaid HMO business in metro Detroit, signing a deal to acquired the Detroit-based Medicaid plan Trusted HP-Michigan, the insurer said Monday. Trusted HP, which […]

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July 3, 2019

Whitmer shakes up ‘Michigan Dashboard’ to reflect her priorities for Michigan

(Photo: Carlos Osorio, AP) Six months in office, Gov. Gretchen Whitmer isn’t abandoning the gigabytes of spreadsheets left behind by her “nerdy” predecessor, but she is putting her own stamp on them. Former Michigan Gov. […]

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June 20, 2019

Michigan offers free nicotine patches, gum for smokers

Smokers can get free nicotine patches, gum or lozenges this summer from a state department urging Michiganders to ditch the harmful habit. The Michigan Department of Health and Human Services is offering the free products […]

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June 12, 2019

An update on Managed Long Term Services and Supports (MLTSS)

Millions of Michigan residents need long-term care services because of the disabling conditions of chronic illnesses. Programs like Managed Long Term Services and Supports (MLTSS) meet the needs of those individuals and families through capitated […]

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May 31, 2019

Millennials Love Wellness. But They’re Not as Healthy as People Think, Report Says

Originally published by TIME Millennials are often credited with driving the $4.2 trillion global wellness market, with their love of pursuits like yoga, meditation and boutique fitness. But despite their reputation for valuing health and wellness, […]

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May 31, 2019

Survey to address wellness, health costs

Originally published by UPMatters Connect Michigan, in partnership with the Michigan Health Endowment Fund and AARP Michigan, is seeking input from area residents regarding how they use or would like to use technology in relation to […]

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May 31, 2019

How New York stopped surprise billing

Originally published by Health Exec As the Trump administration looks for ways to reduce the burden on Americans when they receive a surprise medical bill, it could borrow ideas from New York, which approved legislation in […]

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May 31, 2019

Health insurer reports opioid usage ‘plummets’

Originally published byGrand Rapids Business Journal A local health insurer is reporting decreased opioid use among its members across all business lines. Grand Rapids-based Priority Health analyzed a year of numbers following the November 2017 […]

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May 31, 2019

National study: Michigan ranks second highest for drug use as opioid abuse rates climb

Originally published by WSBT Michigan’s opioid abuse problem is getting worse, according to a national finance study. Wallethub reported Michigan is the state with the second highest rate of drug use. The ranking was based on […]

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May 31, 2019

MDOC launches employee mental health initiative amid concerns over stress and suicides

Originally published by Michigan Radio Working as a corrections officer can be a high stress job. Earlier this year, we spoke with Cary Johnson, a corrections officer in Jackson, about the mental health challenges facing the […]

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May 31, 2019

TV pitches for prescription drugs will have to include price

Originally published by Associated Press TV pitches for prescription drugs will soon include the price, giving consumers more information upfront as they make medication choices at a time when new drugs can carry anxiety-inducing prices. Health […]

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May 31, 2019

Priority Health Promotes Skin Cancer Prevention through “Sun Smart” Campaign

Originally published by Business Wire Michigan-based health insurer, Priority Health, launches its Sun Smart campaign today to educate and encourage Michigan residents to make smart sun choices by providing sun protection solutions this summer. “Skin cancer […]

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May 31, 2019

Health Plan Customer Satisfaction Challenged by New Era of Empowered Healthcare Consumers, J.D. Power Finds

Originally published by J.D. Power Customer satisfaction among commercial health plan members has improved nationwide, but health insurers are still confronting challenges when it comes to delivering on the financial and personal health expectations of their […]

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May 14, 2019

An Update on Behavioral Health Integration

One of the most frustrating issues facing policymakers in Lansing today remaining is deciding how to improve access and outcomes for individuals with behavioral health needs throughout Michigan.  Lawmakers have already done excellent work in […]

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April 12, 2019

Healthcare changes remain at the forefront of concerns for Americans

Originally published by Jeff Romback  Healthcare is at the forefront of talk in Washington as improvements to the care delivered to Americans is a paramount concern. A reaction to this has been the concept of […]

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April 11, 2019

Census Bureau: Health insurance coverage increased across Michigan

Originally Published by Crain’s Detroit  All Michigan counties saw the percentage of people without health care insurance decline, and in most cases decline dramatically, since 2013, according to a study released by the U.S. Census […]

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March 22, 2019

ANSWERING THE CALL TO MICHIGAN’S LACK OF ADDICTION SPECIALISTS

The number of opioid-related deaths in Michigan has hit an all-time high, requiring the resources of the state’s three major research universities and one of its largest health systems to tackle the problem. Under a […]

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February 22, 2019

Spectrum Health joins nonprofit consortium seeking to make generic meds

Originally published by MiBiz Spectrum Health was among a dozen members to join a consortium of health systems across the nation that plan to produce their own generic medications to address a shortage. The new founding […]

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February 14, 2019

United Healthcare cites success in limit on opioid dental prescriptions for ages 19 or under

Originally Published by Crain’s Detroit Business United Healthcare’s three-day opioid dental prescription policy for those age 19 or under has contributed to 17 percent drop in all-age prescriptions. United also is targeting the top 20 percent […]

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January 22, 2019

Health care access improves in West Michigan and Detroit, report finds

Originally published by MLive Fewer residents in West Michigan and the Detroit region lack health insurance, according to a new report that takes a comprehensive look health care trends in the region. Substantial insurance changes were […]

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January 8, 2019

Amending the Public Employee Health Benefits Act To Improve Competition and Transparency

On Dec. 28, 2018 former Governor Rick Snyder signed into law amendments to the Public Employee Health Benefits Act (PEHBA). PEHBA applies to public employers, including cities, counties, schools, and universities who offer healthcare benefits […]

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2018

December 19, 2018

Opinion: The hazards of my hospital bill

Originally published by Oregon Live Last spring, I had the misfortune of needing medical treatment for a skin rash that had morphed into cellulitis in my left leg. I have enjoyed good health and a hearty constitution […]

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December 19, 2018

Study: Average hospital outpatient visit cost approaching $500

Originally published by UPI The average outpatient visitor to a U.S. hospital will pay close to $500, a new study says. The findings, published Wednesday in The Lancet Public Health, also found that the average inpatient […]

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December 19, 2018

After her skiing accident, an uphill battle over snowballing bills

Originally publsihed by NBC News Sarah Witter couldn’t get a break even though her leg had gotten several. As she lay on a ski trail in Vermont last February, Witter, now 63, knew she hadn’t suffered […]

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December 17, 2018

MAHP suggests public take no action after federal court ruling that Affordable Care Act is unconstitutional

Michigan plans taking no action pending further court rulings   The following can be attributed to Dominick Pallone, executive director of the Michigan Association of Health Plans: The Affordable Care Act needs improvements that Congress […]

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November 26, 2018

People with limited health insurance literacy more likely to avoid care

Originally published by Health Care Dive Dive Brief: A new JAMA Network study found that lower health insurance literacy could be connected to people avoiding healthcare services, including preventive care. The report suggested that clinicians, payers […]

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November 26, 2018

UVa doctor couple gets $1.8M to test one-stop breast cancer approach

Originally published by The Roanoke Times  CHARLOTTESVILLE — A husband-and-wife team of doctors at the University of Virginia has pioneered a system of breast cancer treatment that allows a patient to receive a single dose of […]

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November 26, 2018

Editorial: Michigan can’t overlook mental health

Originally published by Detroit News Beaumont Health recently announced it will begin construction on a new 150-bed, free-standing psychiatric hospital in early 2019. This is a need in Michigan, where the mentally ill have been woefully […]

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November 26, 2018

Coming Together to Solve the Opioid Crisis

Originally published by U.S. News  SOCIAL, EDUCATIONAL AND medical barriers need to be lowered in order to address the multiple facets of the opioid epidemic, leaders from multiple industries said during the closing keynote discussion of […]

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November 26, 2018

The 6 Best Meditation Apps For 2018

Originally published by Women’s Health  For something that’s supposed to mellow you out and leave you feeling refreshed, meditation can be kind of stressful sometimes: How do I do it? When should I do it? And […]

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November 26, 2018

HAP to start moving 1,100 workers to Troy on Nov. 26

Originally published by Crain’s Detroit Business Health Alliance Plan of Michigan will move 1,100 employees and contractors to its new building in Troy starting Nov. 26, with plans to complete the move in the first quarter […]

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November 26, 2018

Metro expands women’s health practice with new center

Originally published by MiBiz GRAND RAPIDS — A new women’s health center Metro Health-University of Michigan Health System plans to open later this year will increase patients’ access to care in eastern Kent County. The health […]

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November 26, 2018

Women Healthcare Market 2018 | Analysis by Top Players Revenue, Size, Share, Demand, Trends and Forecasts 2023

Originally published by Medgadget This MRFR Market Perspective Examines the Historical Trends and Current Scenario of the “Global Women Healthcare Market” to Deliver a Highly Pertinent Growth Forecast. And Registering 5.04% CAGR Along with Top Companies […]

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November 26, 2018

Medical Bills ‘Toxic’ for Some Breast Cancer Patients

Originally published by U.S. News WEDNESDAY, Oct. 24, 2018 (HealthDay News) — Many women living with advanced breast cancer face significant financial strains — from paying for their care to simply covering monthly bills, a new […]

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November 26, 2018

How to Help Your College Student Access Mental Health Care

Originally published by Psychology Today “Mom, why is it so hard to find a therapist or psychiatrist when you need one?” asks your daughter Emily, a college freshman. It is the week before Thanksgiving, she is […]

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November 19, 2018

Is Sugar-Coating Bad Childhood Memories a Winning Strategy?

Originally published by Psychology Today Do you have “purposely forgotten” or sugar-coated childhood memories about mom or dad that you’ve glossed over using amnesia? Do you think retrieval-specific “adaptive forgetting” of negative memories from your childhood […]

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October 31, 2018

Legislative Scorecard | October 2018

MAHP is happy to introduce our Legislator Scorecard on the web site. We’ve undertaken this initiative as a visualization of MAHP’s highest priority bills and how each Legislator has voted on these efforts. We’ve categorized […]

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October 29, 2018

Amid Michigan opioid crisis, drug centers say new rules mean layoffs

Originally published by Bridge As Michigan’s opioid crisis deepens, treatment experts warn that proposed state regulatory changes could lead to widespread layoffs of substance abuse workers and even force some treatment centers to close. A public […]

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October 29, 2018

Federal Legislation May Help With Michigan’s Opioid Crisis

Originally published by WEMU 89.1 Legislation awaiting President Trump’s signature would provide more support for people struggling with opioid addiction. Listen Listening…0:40 Laura Michels reports on federal legislation that may help with Michigan’s opioid crisis. The […]

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October 29, 2018

Mental Health Care Critical for Battling the Opioid Crisis

Originally published by MD Magazine  A recent study examining the association between opioid abuse and depression turned a searing spotlight on the need for increased access to mental health in the United States. The study is […]

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October 29, 2018

A New Prescription For Depression: Join A Team And Get Sweaty

Originally published by NPR Ryan “China” McCarney has played sports his entire life, but sometimes he has to force himself to show up on the field to play pick-up soccer with his friends. “I’m dreading and […]

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October 29, 2018

Michigan to study ways to lower health insurance premiums

Originally published by Crain’s Detroit Business   Michigan is looking for a contractor to conduct a health insurance market study as part of the state’s overall effort to lower health insurance premiums. The study also could […]

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October 29, 2018

Michigan Leaders Hope Fed Opioid Abuse Legislation Would Help Michigan

Originally published by WKAR  According to the Centers for Disease Control and Prevention, the number of people dying from overdoses involving prescription opioids was 5 times higher in 2016 than 1999. Legislation awaiting President Trump’s signature […]

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October 29, 2018

Here’s how $1.5B will change health care in Greater Lansing

Originally published by Lansing State Journal Editors note: The time frame during which $1.5 billion in health care-related investment in the Lansing area will occur has been updated in this story.  LANSING — Health care-related industries […]

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October 29, 2018

Non-fatal injuries cost healthcare $1.8 trillion annually, report shows

Originally published by Healthcare Finance A new analysis by researchers from Brown University and the Pacific Institute for Research and Evaluation has found that nonfatal injuries in the U.S. in 2013 cost more than $1.8 trillion. […]

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October 29, 2018

Michigan’s homeless face major barriers to healthcare. Here’s how care providers are trying to help.

Originally published by Second Wave Michigan  This article is part of State of Health, a series examining health disparities, how they affect Michigan’s children and seniors, and the innovative solutions being developed to address them. It […]

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October 29, 2018

Summit speaker offers insights from field on combining physical, behavioral health care

Originally published by Crain’s Detroit Business Crain’s 10th Health Care Leadership Summit debated integration of physical and mental health Keynote speakers included Washington state Medicaid integration executive Isabel Jones and Michigan HHS Director Nick Lyon By […]

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October 29, 2018

‘Section 298′ pilot programs move ahead

Originally published by Crain’s Detroit Business The differences in philosophies were evident when Lisa Williams, executive director of the West Michigan Community Mental Health, met last summer with Sean Kendall, president of Detroit-based Meridian, a WellCare […]

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October 17, 2018

Bankole: The unlikely healthcare conversion of Michigan gubernatorial candidate Schuette

Originally published by The Detriot News Despite the shortcomings of his administration on some issues, including the Flint water crisis, one of the hallmarks of the outgoing administration of Gov. Rick Snyder, is the empathy he showed […]

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October 17, 2018

The big data disruption: How big data analytics can impact health care

Originally published by Crain’s Detroit Business  Banks, grocery stores and tech companies like Amazon and Apple gather vast amounts of data from consumers to personalize experiences, become more efficient and strategize new services, product offerings and […]

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October 10, 2018

Easterseals to start early childhood mental health program with $2.5M grant

Originally published by The Oakland Press Easterseals Michigan, a behavioral health services agency, has been awarded a a $2.5 million grant from the Substance Abuse and Mental Health Services Administration. The agency plans to use the […]

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September 26, 2018

Taken For A Ride: After ATV Crash, Doctor Gets $56,603 Bill For Air Ambulance Trip

Originally published by KHN It was the first — and only — time Dr. Naveed Khan, a 35-year-old radiologist, ever rode in an all-terrain vehicle. Khan took the wheel from his friend and drove circles in […]

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September 24, 2018

MAHP celebrates health plan innovation in 18th Annual Pinnacle Awards

Ten Michigan health plans from across the state submitted 25 ground-breaking programs to the Michigan Association of Health Plans Foundation Annual Pinnacle Awards, demonstrating creative approaches to innovation in the commercial, Medicare and Medicaid sectors […]

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September 19, 2018

Wobbly but upright, Obamacare still standing in Michigan

Originally published by Bridge As year six approaches, the health of the Affordable Care Act in Michigan is  stabilizing, with premiums expected to flatten in 2019 after years of jarring spikes that sent enrollment numbers tumbling […]

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September 19, 2018

Q&A: Guylaine Donavan – Vice President, Hylant

Originally published by MiBiz More than 2,600 Michigan residents died in 2017 from an opioid overdose. That’s an increase of more than 80 percent over the last five years, according to data from the U.S. Centers […]

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September 19, 2018

The opioid epidemic in Michigan

Originally published by UP Matters The opioid epidemic reaches far and wide across the United States, but Michigan ranks 10th in per capita opioid prescribing rates and 18th in overdose rates. Dr. Kevin Piggot is working […]

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September 19, 2018

Three Qualities All Tech-Driven Millennials Are Looking For

Originally published by Forbes Born between 1981 and 1996, millennials currently make up roughly 25% of the U.S. population and are regular subjects of news analysis and public discussion. In 2014, Pew Research Center released a […]

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September 19, 2018

Study: Expanded Medicaid boosted finances of Michigan’s poor

Originally published by The Detroit News Enrollment in Michigan’s expanded Medicaid program boosted the finances of many low-income residents as well as their health care status, according to a University of Michigan study released Monday. Among […]

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September 19, 2018

Know the Law – Health Insurance for College Students

Originally published by Fox17 It’s that time of year again. The kids are going back to school, including college students. While you might be checking off your to-do’s, like buying textbooks and furnishing apartments, there is […]

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September 19, 2018

First timers need to ask these questions to avoid choosing the wrong health insurance

Orginally published by CNBC Like other adult things, choosing your first health insurance plan seems scary until you do it. Lots of acronyms you never heard before? Check. You know it’s going to hit your wallet? […]

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September 19, 2018

How Efficiency Experts Lowered Health Care Prices at One U.S. Hospital

Originally published by Fortune Hospital bills tend to generate a knee-jerk reaction: why so expensive? Few hospitals in the U.S. have a clear answer. Now, one hospital has now done some self-criticism and examined its knee-replacement […]

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September 19, 2018

WellCare becomes largest Medicaid provider in Michigan after Meridian acquisition

Orginally published by The Detroit News Michigan’s largest Medicaid health-plan provider is now under new ownership. WellCare Health Plans Inc. said Tuesday that it had completed on Saturday its $2.5 billion acquisition of Detroit-based Meridian Health […]

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September 19, 2018

We can’t make economically rational choices on healthcare. Our brains won’t let us

Orginally published by the LA Times Standing under a sign reading “pain relief,” I scanned the shelves, my legs throbbing after a 10K race that morning. I spotted a familiar red box: Tylenol Extra Strength, 100 […]

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September 12, 2018

Pharma chief defends 400% drug price rise as a ‘moral requirement’

Originally Published by Financial Times  A pharma executive has defended his decision to raise the price of an antibiotic mixture to more than $2,000 a bottle, arguing there was a “moral requirement to sell the product […]

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September 5, 2018

MAHP supports federal action to repeal the Health Insurance Tax

MAHP supports federal action to repeal the Health Insurance Tax (HIT). Congress placed a moratorium on collection of the tax for 2017 and 2018 but will lapse for 2019. Re-instituting the tax will cause a […]

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August 29, 2018

CMS seeks help creating consumer price comparison tool

The CMS started the process of searching for a company to help create a price comparison tool for consumers. It has released a sources sought notice to see if any companies have the expertise to […]

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August 20, 2018

It is with sadness that we note Bill Alvin has passed away

It is with sadness that we note Bill Alvin, former CEO of Health Alliance Plan – HAP and valued past member of the MAHP Board of Directors and the MAHP Executive Committee, has passed away. […]

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August 14, 2018

MAHP Strongly Supports State Embracing Innovation to Hold Down Individual Market Rates

(LANSING) The Michigan Association of Health Plans (MAHP) today said it encourages the Michigan Department of Insurance and Financial Services (DIFS) to examine and endorse key innovations other states have used to stabilize the individual health […]

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August 9, 2018

What Do Millennials Want from the Healthcare System?

The Health Care Blog The 18-34 year old segment of our population is large, growing and important in our society. They are 80 million strong. Their attitudes, beliefs, values and actions are re-shaping the way […]

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August 9, 2018

What Millennials Need to Know About Health Insurance

Originally published the The Balance If you’re a “Millennial,” born sometime in the 1980s, you’re probably as healthy as you’ll ever be, and you’re definitely young. Does this mean you can forego health insurance? Decidedly not. […]

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August 9, 2018

Task Shifting Could Help Lower Costs in U.S. Health Care

Originally published by Harvard Business Review If you ran a fancy restaurant, would you want the chef also to clean dishes and mop the floor? Of course not. You’d hire others to do these things and […]

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August 9, 2018

Why Americans Spend So Much on Health Care

Originally published by The Wall Street Journal The U.S. spends more per capita on health care than any other developed nation. It will soon spend close to 20% of its GDP on health—significantly more than the […]

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August 9, 2018

Does Health Care Need to Cost This Much?

Originally published by The Wall Street Journal  In “Why We Spend So Much on Health Care”  (U.S. News, Aug. 1) the graphic comparison of health-care spending and life expectancy between the U.S. and some OECD nations represents a […]

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August 3, 2018

MAHP Commentary on New Medicare IPPS and LTCH Rules

On August 2, the Centers for Medicare & Medicaid Services (CMS) issued its Final Rule for Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Acute Care Hospital (LTCH) Prospective Payment System. (We’ll minimize the acronyms for this […]

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July 30, 2018

Minnesota’s individual health insurance rates likely to fall in 2019, small groups’ could rise

Originally published by TwinCitites.com Minnesotans who buy health insurance on the individual market will likely see lower rates next year while those who buy coverage in small groups could see an increase. The Minnesota Commerce Department […]

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July 27, 2018

Déjà Voodoo: Pharma’s Promises To Curb Drug Prices Have Been Heard Before

Orginally published byKHN.org Prescription drug prices were soaring. Angry policymakers swore they’d take action. Pharma giant Merck responded by promising to address the problem voluntarily, vowing to keep price increases under the overall rate of […]

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July 24, 2018

The Astonishingly High Administrative Costs of U.S. Health Care

Originally published by The New York Times It takes only a glance at a hospital bill or at the myriad choices you may have for health care coverage to get a sense of the bewildering complexity […]

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July 24, 2018

Are you getting the best price for your prescriptions? Some strategies to pay less

Originally published by USA Today Filling a prescription is pretty simple. In some states, including Maine, Minnesota and New York, your doctor electronically files the order. Elsewhere you bring the doctor’s scribbled instructions to a pharmacist. […]

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July 24, 2018

Michigan pharmacies filled twice as many order for this drug

Originally published by The Detroit Free Press More people are seeking the drug that reverses opioid overdoses. Michigan pharmacies filled twice as many orders for naloxone during the second quarter of the year than it did […]

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July 24, 2018

Where is price transparency in healthcare?

Originally published by Cleveland.com In almost every industry in the United States, consumers are able to easily access price information to shop. The first requirement to bring buyers and sellers together in a market is to […]

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July 24, 2018

Obamacare rate hikes In Michigan lowest in years

Originally published by Politics Central  In sharp contrast to the double-digit rate increases in recent years, Obamacare health insurance purchasers in Michigan will see the smallest rate hikes in many years in the upcoming enrollment period. […]

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July 24, 2018

Having a baby is costly and confusing, even for a health policy expert

Originally published by Philly Voice It is hard to believe that it has been just over since five months since our second son, Lukas, was born on Feb. 3. His mother, Hollyanne, is doing well, which […]

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July 24, 2018

Cutting health care costs: Michigan employers find strategies to stem rate plan increases

Originally published byCrain’s Detroit Business Average health care costs in Michigan for midsized employers are projected to increase by 5 percent in 2018 after benefit plan changes, the same rate as last year but higher […]

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July 16, 2018

Individual market health insurance rates moderate for 2019

After significant rate increases in recent years, Michigan’s insurers in the individual market plan much smaller rate hikes for 2019 – and some plans are cutting rates for plans purchased through the Health Insurance Marketplace. […]

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July 11, 2018

Getting the Most Out of MAHP Summer Conference

Michigan Association of Health Plan’s 33rd Annual Summer Conference is just around the corner. Summer Conference is always a highlight of the year, with a chance for members to mingle, learn from great speakers, visit […]

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July 9, 2018

A baby was treated with a nap and a bottle of formula. The bill was $18,000.

On the first morning of Jang Yeo Im’s vacation to San Francisco in 2016, her 8-month-old son, Park Jeong Whan, fell off the bed in the family’s hotel room and hit his head. There was […]

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July 9, 2018

Drugmakers defy Trump’s call to drop prices

President Donald Trump in May said that drugmakers would soon announce “massive” price cuts, and his administration rolled out a plan to bring down the cost of medicines. But the companies don’t appear to have […]

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June 27, 2018

Millennials and the Health Insurance Marketplace in Michigan

Authored by: Jeff Romback, Deputy Director, Policy and Planning And Millennial Health Insurance… fun topic, right? One of these real “adult” decisions you’ve had to make every year at work or through the Marketplace. Also, who […]

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June 26, 2018

Michigan’s Medicaid expansion a boon to primary care providers

Michigan’s decision to expand Medicaid has paid dividends for both patients and primary care providers in the state, with residents experiencing better access to care and the ability to live and work independently, and physicians […]

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June 26, 2018

Solutions to Michigan’s opioid epidemic

Last week, the Michigan state legislature passed a law prohibiting physicians from prescribing more than a seven-day supply of opioids. Across the state and the country, lawmakers at both the local and national levels have […]

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June 26, 2018

Healthcare costs increasing at unsustainable pace

Medical costs are poised to continue their relatively flat growth in 2019, but researchers say the steady trend is unsustainable for consumers. The expected 6% growth in 2019 aligns with the 5.5% to 7% trend […]

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June 26, 2018

Price transparency is sound health-care policy

Americans agree on one thing: health care costs too much, both individually and to our nation. In 1960, the average U.S. health care cost per person was $146. As a nation, we expended $27.2 billion, […]

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June 26, 2018

Michigan ACE Initiative Launches New Video

The Michigan ACE Initiative is focused on expanding efforts toward a statewide awareness of the Adverse Childhood Experiences and our new video will help increase that awareness–and showcase the work being done to create trauma […]

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June 18, 2018

After Surgery, Surprise $117,000 Medical Bill From Doctor He Didn’t Know

Before his three-hour neck surgery for herniated disks in December, Peter Drier, 37, signed a pile of consent forms. A bank technology manager who had researched his insurance coverage, Mr. Drier was prepared when the […]

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June 18, 2018

Front-line medical providers say Michigan’s Medicaid expansion helped patients’ health and ability to work

Extending medical insurance to low-income Michigan residents meant they had better access to health care, earlier detection of serious illnesses, better care for existing health problems and improved ability to work, attend school and live […]

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June 18, 2018

How the High Cost of Medical Care Is Affecting Americans

•A bill of over $40,000 for the 20 minutes it took a doctor to stitch a cut. • An ambulance ride of only 200 feet that cost $3,421. • A healthy, insured couple “slowly going […]

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June 18, 2018

The Odd Math of Medical Tests: One Scan, Two Prices, Both High

Len Charlap, a retired math professor, has had two outpatient echocardiograms in the past three years that scanned the valves of his heart. The first, performed by a technician at a community hospital near his […]

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June 15, 2018

Even Small Medical Advances Can Mean Big Jumps in Bills

Catherine Hayley is saving up for an important purchase: an improved version of the tiny digital pump at her waist that delivers lifesaving insulin under her skin. Such devices, which tailor insulin dosing more precisely […]

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June 15, 2018

The Price of Prevention: Vaccine Costs Are Soaring

There is little that Dr. Lindsay Irvin has not done for the children’s vaccines in her office refrigerator: She remortgaged her home to afford their rising prices. She packed them in ice chests and moved […]

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June 14, 2018

Patients’ Costs Skyrocket; Specialists’ Incomes Soar

Kim Little had not thought much about the tiny white spot on the side of her cheek until a physician’s assistant at her dermatologist’s office warned that it might be cancerous. He took a biopsy, […]

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June 14, 2018

As Hospital Prices Soar, a Stitch Tops $500

With blood oozing from deep lacerations, the two patients arrived at California Pacific Medical Center’s tidy emergency room. Deepika Singh, 26, had gashed her knee at a backyard barbecue. Orla Roche, a rambunctious toddler on […]

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June 14, 2018

The Soaring Cost of a Simple Breath

The kitchen counter in the home of the Hayes family is scattered with the inhalers, sprays and bottles of pills that have allowed Hannah, 13, and her sister, Abby, 10, to excel at dance and […]

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June 14, 2018

In Need of a New Hip, but Priced Out of the U.S.

Michael Shopenn’s artificial hip was made by a company based in this remote town, a global center of joint manufacturing. But he had to fly to Europe to have it installed. Mr. Shopenn, 67, an […]

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June 14, 2018

American Way of Birth, Costliest in the World

Seven months pregnant, at a time when most expectant couples are stockpiling diapers and choosing car seats, Renée Martin was struggling with bigger purchases.  At a prenatal class in March, she was told about epidural anesthesia and was […]

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June 14, 2018

The $2.7 Trillion Medical Bill

Deirdre Yapalater’s recent colonoscopy at a surgical center near her home here on Long Island went smoothly: she was whisked from pre-op to an operating room where a gastroenterologist, assisted by an anesthesiologist and a nurse, performed […]

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June 6, 2018

A Hospital ER Charges An ‘After-Hours’ Fee. Who Has To Pay It?

Originally published by Kaiser Health News. This week, I responded to readers who were unhappy with their health plan’s decision not to pay an emergency department surcharge for after-hours care and concerned about difficulties getting Medicare […]

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May 31, 2018

VAI names insurance exec to board

Originally published by Grand Rapids Business Journal A local health insurance leader has joined the board of the Van Andel Institute. VAI said yesterday it appointed Joan Budden, president and CEO of Grand Rapids-based Priority Health, which […]

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May 24, 2018

Where Does Your Health Care Dollar Go?

Originally published by AHIP. As health care costs take a bigger bite out of consumers’ wallets year over year, Americans deserve more information about where their health care dollars go. That’s why America’s Health Insurance Plans […]

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May 16, 2018

For opioid addicts in Michigan, online help when no doctor is near

Originally published by Bridge In Ann Arbor, a clinic called Workit Health has an innovative approach to addiction: Why not harness the Internet to take treatment anywhere the patient lives? Launched in 2015 as a web-based treatment […]

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May 11, 2018

The tiniest addicts: How U.P. babies became part of opioid epidemic

Originally published by The Detroit Free Press. The new baby arrived at UP Health Systems in Marquette by ambulance on a January evening, well past dark and nearing, maybe, the end of a long shift for […]

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May 7, 2018

Fueling Food for Flint Initiative

For the past two years, Meridian has been dedicated to helping the Flint community through our partnership with the Food Bank of Eastern Michigan. Most recently, we sponsored a 12-hour RadioThon hosted by Flint-based radio […]

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May 4, 2018

Making health care markets work: Competition policy for health care

Originally published by Brookings. The U.S. health care system does not work as well as it could, or should. Prices are high and rising,[1] there are serious quality problems,[2] and many characterize the system as rigid and unresponsive, […]

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May 4, 2018

Pilot programs to include unenrolled Medicaid patients

Originally published by Crain’s Detroit Business.  Michigan state health officials plan to add an additional layer of complexity this fall to projects designed to test integration of Medicaid behavioral and physical health by requiring the mental […]

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May 4, 2018

More communities join lawsuit to get drugmakers to pay for costs of opioid crisis

Originally published by Michigan Radio. The prescription opioid drug addiction problem not only takes its toll on individuals and families. It also costs local governments in many different ways — from emergency medical services to more […]

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May 3, 2018

Texas ruling on $11,000 ER bill may have long-lasting effects

Originally published by Denton Record-Chronicle  The health care industry is closely watching a recent decision by the Texas Supreme Court that some say could have broader implications on how hospitals and health insurers negotiate their rates. […]

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May 3, 2018

AI offers health care industry new ways to control costs, manage care

Originally published in MiBiz. Get ready for the rise of the machines in the health care industry. The future of health care could very well depend on it, as artificial intelligence ushers in a new era […]

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May 3, 2018

Shining the Light into Pharmacy Pricing

Michiganders, the healthcare industry, employer groups, and citizen advocates believe access to the pricing of ever-increasing drug costs serves consumers. Shining a light into their costs would be a step to bringing them to the […]

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May 2, 2018

Results Of Statewide Drug Take-Back

Originally published by WSJM A drug take-back event this past Saturday resulted in more than 966 pounds of unneeded prescription medications being collected across the state. Michigan State Police tell us the agency’s 30 posts served […]

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May 1, 2018

State Rep. Mary Whiteford said there’s a lack of transparency when it comes to the cost of prescription drugs and the powerful companies that set those prices.

Originally published by Holland Sentinel.  State Rep. Mary Whiteford, with the support of the Michigan Pharmacists Association, introduced legislation last week to help protect consumers against rising prescription drug costs. Whiteford, R-Casco Township, said there’s a lack […]

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May 1, 2018

Hundreds of pound of drugs collected during northern Michigan drug take-back day

Originally published by Up North Live. Northern Michigan Law Enforcement teamed up with the Drug Enforcement Administration on Saturday for Prescription Drug Take-Back Day. The country-wide event encourages people to drop off their expired, used or […]

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May 1, 2018

See Michigan counties with highest percent on public health insurance

Originally published by MLive. About 39% of Michigan residents have public insurance coverage — i.e., Medicare, Medicaid or Veterans Administration benefits, based on estimates by the U.S. Census Bureau. Those numbers vary considerably by age group, […]

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April 30, 2018

Michigan Reports Progress Against Opioid Use

Originally published by Occupational Health & Safety. The number of opioid prescriptions issued in 2071 was 10.7 percent below the number in 2015, and the overall number of schedules 2-5 controlled substance prescriptions dispensed fell by […]

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April 26, 2018

A Michigan where all kids thrive

Originally published in the Michigan League for Public Policy’s 2018 Kids Count in Michigan Data Book. In 2016, more than 1 in 5 children in Michigan still lived in poverty. That is an improvement from 23% […]

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April 25, 2018

Report: HMOs, feds reshape Michigan’s health insurance

Originally published by The Detroit News. Michigan’s health care landscape is being reshaped by the renewed strength of health maintenance organizations and the growing role of government health insurance programs, according to report released Wednesday. The […]

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April 24, 2018

Bill would require locks on opioid prescription bottles

Originally published by the Detroit Free Press. To deter opioid abuse, Michigan lawmakers say it’s time to rethink the child-resistant prescription vial. In a Tuesday press conference, Republican and Democratic state representatives unveiled a bill requiring […]

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April 24, 2018

U.S. healthcare spending to climb 5.3 percent in 2018: agency

Originally published by Reuters. United States health spending is projected to rise 5.3 percent in 2018, reflecting rising prices of medical goods and services and higher Medicaid costs, a U.S. government health agency said on Wednesday, […]

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April 24, 2018

Opioid Study Launches In Michigan

Originally published by Pharmaceutical Processing. An innovative, genomics-based pilot program to study opioid abuse and addiction was launched in Kalamazoo County recently. The program, made possible by funding provided by the Michigan Department of Health and Human Services (DHHS), […]

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April 24, 2018

As opioid addiction is on the rise, Pine Rest offers help

Originally published by WZZM13. The experts at Pine Rest are helping people understand opioid addiction and how they can help. According to the U.S. Department of Health and Human Services, In 2016, 2.1 million people had […]

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April 23, 2018

Column: There’s more to do on opioids

Originally published by The Detroit News.  Over three years ago, I co-authored an article with recommendations on how Michigan should tackle the opioid epidemic. Chief among these recommendations include physicians limiting the number of opioids prescribed to patients and […]

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April 23, 2018

Southeast Michigan to benefit from $3.4 million in Michigan health grants

Originally published by Crain’s. Southeast Michigan will benefit from $3.4 million in grants as part of a statewide program intended to improve health and reduce health care costs for residents. The Michigan Health Endowment Fund will […]

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April 23, 2018

Obamacare sign ups remained strong in 2018, but next year is uncertain

Originally Published by CNN. Obamacare remained popular with millions of Americans in 2018, despite the Trump administration’s repeated attacks. Nearly 11.8 million people selected coverage for this year on the federal and state-based exchanges during a […]

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April 23, 2018

Sessions proposes plan to limit amount of opioids manufacturers can produce

Originally published by The Washington Post.  Attorney General Jeff Sessions proposed a change to national drug policy Tuesday by limiting the amount of opioids that certain companies can manufacture each year in an effort to fight what […]

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April 23, 2018

The opioid epidemic from a transplant surgeon’s point of view

Originally published by Michigan Radio.  Recent reports show that the number of organ transplants is rising. While this may be good news to those on an organ waitlist, the reason for the rise — opioid overdose […]

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April 16, 2018

McLaren invests $1.1 million to establish epilepsy care unit

Originally published by Crain’s. McLaren Health Care Corp. has equipped itself with an epilepsy sub specialty team as the Grand Blanc-based medical system focuses on an expected increase in diagnoses of the neurological disease. About $1.1 […]

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April 10, 2018

For a CEO, what’s a good day?

Originally published by Crain’s. Joan Budden of Priority Health has some advice for her fellow CEOs, even those whose companies have nothing to do with health insurance. Start small. Adjust fast. Grow to scale. “Think big […]

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April 9, 2018

U.P. Perinatal Care Focus of Newly-Formed Collaborative Effort

Originally published by Sunny FM Radio.  The Upper Peninsula Health Plan and U.P. Health Care Solutions have partnered up to form a collaborative group addressing the health of mothers and their babies in Upper Michigan. The […]

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April 4, 2018

HAP to open innovation center in Detroit, move more employees to Troy

Originally Published By Crain’s. Health Alliance Plan of Michigan is considering a plan to move some of its workforce from its longtime Detroit New Center headquarters to Troy and also intends to open an innovation center […]

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April 2, 2018

Health insurers push patients away from hospitals

Originally published by Crain’s. Health insurers are increasingly creating programs to encourage patients to move away from hospitals and instead use lower-priced outpatient providers or in-home services to reduce health care costs and hold down premiums. […]

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April 2, 2018

Institute for Clinical and Economic Review Announces New Program to Make Available Draft Executable Economic Models During Drug Assessment Review Process

The Institute for Clinical and Economic Review (ICER) today announced plans for the first phase of a new program in which ICER will work with its academic collaborators to share executable versions of draft cost-effectiveness models with […]

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April 2, 2018

Bill would require pharma companies to report data on high-cost drugs

Originally published by MiBiz. In 2014, the narcotic overdose treatment Naloxone cost $690. Today, the same drug sells for $4,500. That’s just one example of recent dramatic drug price increases that a group of health care […]

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March 29, 2018

Analysis: State Saves $2.5M From 3K People Keeping Healthy MI Coverage

Originally published by MIRS. Of the 13,550 people warned they could be moved from Healthy Michigan to a plan on the federal health insurance exchange, 27 percent of them have jumped through the hoop necessary to […]

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March 20, 2018

Michigan falls short in frontline treatment for opioid crisis

Originally published by Bridge Magazine. A little more than three years ago, William Powers was well on his way to death from an opiate overdose. A self-described longtime drug addict, Powers, 61, said he had been […]

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March 20, 2018

Drug deaths among Michigan women up 24% in 2 years, report says

Originally Published by MLive. Michigan is No. 29 among the 50 states in a 2018 ranking of women and children’s health indicators, according to a new report by the United Health Foundation. Michigan ranked 32nd in […]

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March 20, 2018

As Drug Price Hikes Outpace Inflation, Vaupel Proposes Transparency Commission

Originally published by MIRS.  The price of prescription drugs has increased so dramatically that they have produced a public outcry, such as when the EpiPen jumped from $57 in 2007 to $600 in 2017. In 2015, […]

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March 1, 2018

How other states are fighting prescription drug costs

Originally published by Bridge Magazine. As the Michigan Legislature cautiously considers measures aimed at cutting prescription drug prices, other states are aggressively enacting their own approaches. Most of the states have Democrats controlling at least […]

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March 1, 2018

Opioid Misuse in Rural America

Originally Published by the USDA. The United States is experiencing an epidemic of drug overdose deaths.  In 2016, nearly 64,000 Americans died from a drug overdose. At 174 people each day, this is more than the […]

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March 1, 2018

On Drug Pricing, States Step In Where Washington Fails

Originally posted by The New York Times. President Trump continues to vent about high drug prices, most recently in his State of the Union speech. Democrats like Senators Bernie Sanders and Claire McCaskill keep proposing legislation […]

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March 1, 2018

Legislation Introduced To Reform Michigan’s Mental Health Care System

Originally published by WHMI 93.5 FM. New legislation introduced by a mental health task force co-chaired by a local lawmaker. A bipartisan group of legislators were appointed to the House CARES Task Force to investigate the […]

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March 1, 2018

HAP and Oak Street Health Partner to Enhance Care for MI Health Link Recipients

HAP and Oak Street Health are partnering to offer HAP Midwest MI Health Link members a new way to manage their health. At Oak Street Health centers, MI Health Link Medicare-Medicaid Plan (MMP) beneficiaries will […]

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March 1, 2018

Lansing provides sluggish response to Michigan’s rising drug prices

Originally published by Bridge Magazine. Lansing resident Garrett Clinard could be the poster child for the kind of spiraling prescription drug costs that have moved states from Maryland to Utah to try to curtail their price. […]

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February 20, 2018

Study finds Affordable Care Act resulted in better surgical care

Originally published by The Boston Globe. Harvard researchers have found that the Affordable Care Act was linked to better access to surgery and higher quality care, the university said. “What was most striking was that we […]

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February 20, 2018

How Prescription Drugs Get Their Prices, Explained

Originally published by Newsweek. After years of promising to repeal the Affordable Care Act, House Republicans last week introduced their replacement, the American Health Care Act, or AHCA. The proposed legislation has been ripped from both sides of […]

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February 20, 2018

Obamacare Helped More Young Women Get Prenatal Care: Study

Originally published by HealthDay News. One of the main features of Obamacare — providing insurance for adults under age 26 through their parents’ health plan — allowed many pregnant young women to obtain prenatal care, new […]

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February 20, 2018

KHN On NPR: The Uniquely American Problem Of High Prescription Drug Costs

Originally published by Kaiser Health News    Kaiser Health News Editor-in-Chief Elisabeth Rosenthal discussed drug costs with Scott Simon, the host of NPR’s Weekend Edition on Saturday, Feb. 10. This is a transcript of that conversation. […]

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February 16, 2018

U.S. spending on drugs will grow faster than on other health-care services over the next decade

Originally published by The Washington Post Prescription drug spending will grow faster than any other major medical good or service over the next decade, according to a projection from the Centers for Medicare and Medicaid Services. […]

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February 8, 2018

MAHP applauds Gov. Snyder’s continued support for Healthy Michigan Plan

 Gov. Rick Snyder’s 2018-19 budget proposal including sufficient funding to maintain the Healthy Michigan Plan is a vital step in ensuring health care coverage for more than 650,000 low-income Michiganders and helps hold down insurance […]

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February 1, 2018

Meridian Winter Blast attendance hits 100,000; nonprofits earn $30,000

Last weekend’s Meridian Winter Blast in downtown Detroit drew about 100,000 people, $30,000 in nonprofit contributions and 17,500 pounds of donated food. Attendance was up from 90,000 last year and hit a 10-year high, organizers […]

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January 31, 2018

Premiums increasing and enrollment decreasing on the Michigan Health Insurance Exchange

Enrollment in the Michigan Health Insurance Exchange came to a close on December 15, 2017. The final enrollment report from the Center for Medicare Services showed Michigan’s enrollment at 293,940. Our enrollment showed a nine […]

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January 25, 2018

Ypsilanti celebrates $17.9M housing development with UnitedHealthcare as the largest investor of the development

Ypsilanti celebrates $17.9M housing development Ypsilanti — After being displaced from Flint in the midst of the city’s water crisis two years ago, Janea Davis found living in homeless shelters. The 36-year-old mother of four now […]

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January 3, 2018

MAHP Medicare-Medicaid members rank among nation’s best

Two Michigan Association of Health Plans (MAHP) Medicare-Medicaid members were ranked first and third in the federal Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey that measures consumer experiences. Upper Peninsula Health Plan, based […]

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2017

October 11, 2017

The Impacts of the ACA’s Tax on Health Insurance in 2019 and Beyond

On October 10, Oliver Wyman, who partnered with United Health Care, released an actuarial study regarding taxes under the Affordable Care Act (ACA). The Health Insurance Tax (HIT) is imposed on fully insured Such taxes […]

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September 21, 2017

2017 Pinnacle Awards

Eleven Michigan health plans from across the state submitted 34 ground-breaking programs to the Michigan Association of Health Plans Foundation Annual Pinnacle Awards, leading the health care industry with innovative programs to improve patient health […]

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2016

December 5, 2016

Gratitude and Celebration

As I mentioned in my previous post, there are several people I’d like to thank: Thank you to Drs. Myron Wegman, Sy Axelrod, Avedis Donabedian—giants in their feld of public health and who made the […]

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November 28, 2016

A Time to Reflect

This is one of my last two blog posts as executive director of MAHP. A bittersweet moment to be sure, but one that naturally forces you to look both backward, to appreciate what changes may […]

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October 5, 2016

Integration: Rebuttal of Allegations

First, in the Medicaid managed care system discussed in the last blog post, our members embrace risk. They must accept every patient that chooses them or is assigned to them by the state. There is no […]

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September 28, 2016

Integration: A Win-Win for Patients and Taxpayers

As a longtime student and participant in the public health world, I know that our current bifurcated system of mental and physical health is based on decades of history.  It is no surprise to me […]

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August 16, 2016

Reforming Michigan’s Insurance Code

For more than two years now, MAHP and its members and consultants have been working through a comprehensive review and update of Michigan’s Insurance code provisions that affect health insurance.  This effort started internally following […]

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August 10, 2016

Repurposing of the Medicaid Health Plan Use Tax

Michigan has historically relied on various special taxes to support the general fund and therefore Medicaid services.  A prime example of this is the current imposition of Michigan’s sales and use tax (6 percent) on Medicaid […]

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August 3, 2016

F17 Budget & Impact for MAHP members

We finished the legislative session before summer recess and the results of several key legislative decisions were in play: the budget for FY 17, Senate passage of “repurposing” use tax on Medicaid health plans, and […]

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April 25, 2016

A Crisis in Trust: Health Care Credibility

I feel the need to touch on an underlying issue that I think we all should be concerned about from the public policy perspective. This issue is credibility. The concern is that we allare at risk of […]

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March 2, 2016

Michigan’s Access to Healthcare

Dustin Collins is a second year medical student at Michigan State University and participates in the Rural Physician Program, which is a clinical option for students who wish to practice in the rural community. He’ll […]

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February 15, 2016

Childhood Trauma: A Lifetime of Medical Expense

Researchers are proving that for better or worse, your childhood shapes the person you become. It molds your personality, influences your education and social life, and has a lasting effect on your personal health and […]

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2015

December 16, 2015

Direct Primary Care: Does it Really Save You Money?

To paraphrase Mark Twain, in today’s Internet-connected world, a really bad public policy idea can travel half way around the world while the truth is putting on its shoes. An example is the notion that […]

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December 9, 2015

An Accountable and Cost-Effective System of Care

This is the final post in the series that offers ideas to help Michigan address a looming fiscal cliff caused by the end of certain revenue devices that have funded Medicaid and other low-income health […]

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December 2, 2015

Ideas to Move On

My earlier posts in this series have considered how Michigan can dodge a looming financial bite caused by cuts in revenues and increases in health care costs through smart policies aimed at being more efficient […]

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November 18, 2015

Addressing Our Industry Challenges

As I noted in a previous post, the health industry is facing some serious financial challenges as it seeks to provide quality health care and health insurance to all in the state, particularly low income […]

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November 18, 2015

Accountability and Integration

Let’s keep looking at ways the health industry – insurers and providers of all health services – can help reduce the cost of health care to our state as a whole while improving services. You […]

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November 4, 2015

Crisis or Opportunity

The next 16 months will see a number of far-reaching decisions made those of is in the health insurance industry, health care providers and policymakers. I’m advocating that our industry take advantage of what some […]

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October 29, 2015

2015 Award Winners

I want to take a moment to once again congratulate the MAHP award recipients announced at our recent summer conference.  Randy Narowitz, CEO of Total Health Care received the Bonner Award. He has demonstrated countless […]

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October 13, 2015

Sustaining Success

Successful government programs – those that provide important services or save consumers money — deserve to be promoted and grow. Giving low-income workers whose employers do not provide health insurance need a way to access […]

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October 9, 2015

Census Release

It’s official: federal and state policy changes aimed at increasing health insurance access in Michigan has proven to be a win for the state. The U.S. Census Bureau released data for 2014 revealing that the […]

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October 9, 2015

Planned Parenthood

As the Michigan Legislature prepares to “investigate” Planned Parenthood, I thought it might be useful to review what this organization is doing in Michigan to help improve the lives of thousands of women. And what […]

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April 13, 2015

Health plans managing pharmacy give better care to patients

In my last blog, I indicated our pleasure in the Administration’s reversal of the proposed carve out of the pharmacy benefit in Medicaid managed care.  As noted in the publication released by AHIP on April […]

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April 8, 2015

Managed care + pharmacy services = Great deal for Michigan

The recent announcement that the delivery of prescription drugs to Medicaid and Healthy Michigan Plan patients will continue to be managed by Medicaid Health Plans rather than carving out this benefit to manage separately by […]

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2014

November 3, 2014

Michigan falls in state ranking of health insurance competition

By: Rick Murdock We’re number 3! And that’s not good. The latest American Medical Association (AMA) annual review of health insurer competition found that Michigan has the third least competitive health insurance market in the […]

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September 18, 2014

Pinnacle Awards: Showing what health care leaders do

By: Rick Murdock MAHP’s Pinnacle Awards are always one of the high points of the year for our association – and for me, personally. Yes, I’m an association executive, and I know that we need […]

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September 9, 2014

Ready, set…Go on Nov. 15 for open individual enrollment

By: Rick Murdock Michigan’s health plans are preparing now for the next open enrollment period for individual health insurance coverage under the Affordable Care Act. If you are interested in purchasing or renewing your individual […]

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August 6, 2014

HICA tax passes muster

By Dominick Pallone, Deputy Director MAHP was very pleased to get word recently that Michigan’s Health Insurance Claims Assessment (HICA) tax has passed muster with the 6th U.S. Circuit Court of Appeals, which ruled that the […]

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June 27, 2014

Competition is working

By Rick Murdock Competition has been a key focus for the members of the Michigan Association of Health Plans. We believe vigorous competition on a level playing field among many companies is the right way […]

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May 19, 2014

Good news: Michigan residents are signing up for affordable health care

By Rick Murdock The latest enrollment numbers for Michigan’s Affordable Care Act Exchange have been announced, and it looks like there has been some progress made in getting Michigan residents signed up for affordable health […]

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May 19, 2014

Healthy Michigan Plan: It’s working, but we’ve got to keep it up!

By Rick Murdock All of us at the Michigan Association of Health Plans were strong supporters of Gov. Rick Snyder’s Healthy Michigan Plan, providing health insurance to low-income working men and women. So we have […]

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April 16, 2014

For a robust Medicaid Managed Care system to work, companies must be reasonably compensated

By Rick Murdock Many people don’t fully realize that members of the Michigan Association of Health Plans are largely responsible for delivery of Medicaid services in Michigan for nearly 1.3 million persons – a number […]

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March 28, 2014

American’s still learning about federal health care reform

By Rick Murdock A new national survey you can learn about on our media page shows that Americans are split in thirds about the new federal health care reform – a third like it, a third don’t […]

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March 12, 2014

Working together to create a Healthy Michigan in 2014

By Rick Murdock As we celebrate a new year, I’m happy to report that we’re starting things off on a positive note – the Healthy Michigan plan has officially been given the OK by the […]

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