health care

Law
1:55 pm
Tue July 22, 2014

Michiganders could lose federal tax credits for Obamacare

A three-judge panel in Washington ruled 2-1 that the law, as written, only allows insurance subsidies in states that have set up their own exchanges. That invalidated an Internal Revenue Service regulation that allowed subsidies in all 50 states. (Associated Press)
Credit Steve Carmody / Michigan Radio

A federal court ruling today could affect tens of thousands of Michiganders who got health insurance through Obamacare.

More than 237,000 of the 272,000 Michiganders who signed up for Obamacare selected a plan through the marketplace with federal financial assistance.  The tax credits helped subsidize health insurance payments for low- and moderate-income people.

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Health
11:15 am
Tue July 8, 2014

Detroit, Flint get $9 million for doctor training

Credit User apoxapox / Flickr

DETROIT (AP) - The Detroit and Flint areas are getting nearly $9 million to help train new primary care providers.

Most of the money announced Monday goes to the Detroit Wayne County Health Authority for training in family medicine, internal medicine, psychiatry, pediatrics, obstetrics and gynecology. Flint's Hamilton Community Health Network is getting $900,000 for family medicine training.

The U.S. Department of Health and Human Services says the money is part of $83.4 million in Affordable Care Act funding to support primary care residency programs nationwide. Overall, it will help train more than 550 doctors during the 2014-2015 academic year.

Stateside
4:28 pm
Thu May 22, 2014

Healthy Michigan plan is on track for enrollee sign-up

Credit Lindsey Smith / Michigan Radio

The federal health care exchange for private insurance under the Affordable Care Act closed on March 31. 

The very next day, the attention turned to Healthy Michigan, the state's expanded Medicaid system for some 477,000 low-income Michiganders.

It looks like the state's Healthy Michigan plan is on track for enrollee sign-up.

Don Hazaert is the director of Michigan Consumers for health care, which helps people sign up for the coverage.

*Listen to the full interview above. 

Politics & Government
3:25 pm
Fri May 9, 2014

States that opposed Obamacare, like Michigan, may have made it more efficient

A computer screen showing HealthCare.gov in action.
Credit Steve Carmody / Michigan Radio

That's one of the lessons drawn from a report put out by the law firm Mehri & Skalet.

The author of the report, Jay Angoff, once led the U.S. Health and Human Services office in charge of implementing the Affordable Care Act.

Angoff looked at the amount it cost to set up health care exchanges in each state along with the number of enrollees in each state through March 31, 2014.

By doing that, he came up with a “cost-per-enrollee” for each state’s health care exchange.

Overall, the average cost-per-enrollee was $922. The average cost was higher for states with their own exchanges, and lower in states with the federally-run exchange.

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Stateside
4:45 pm
Wed May 7, 2014

Medical schools are turning out too many specialists, too few primary care physicians

Credit getoverit.org

A basic tenet of the Affordable Care Act is preventive care: Get people into the health care system before disease or disability set in.

But that's highlighting a problem with our medical education system. Medical schools are turning out too many specialists and not enough primary care physicians. Cynthia Canty spoke with Dr. William Strampel, dean of the College of Osteopathic Medicine at Michigan State University. 

Health
3:58 pm
Mon April 21, 2014

Report: Preventable dental problems costing Michigan ERs

The Anderson Economic Group study says in 2011, about 7,000 people with cavities, abscesses, and other preventable dental problems showed up in Michigan ER’s. About a thousand needed to be hospitalized.
Credit Steve Carmody / Michigan Radio

A new report says preventable dental treatment is taking a bite out of Michigan hospital emergency room budgets.

The Anderson Economic Group study says in 2011, about 7,000 people with cavities, abscesses, and other preventable dental problems showed up in Michigan ERs.  About 1,000 needed to be hospitalized.

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Politics & Culture
4:53 pm
Thu February 13, 2014

Stateside for Thursday, Feb.13, 2014

When it comes to support for emergency care services, the U.S. just barely squeaked by with a passing grade, at least according to a new state-by-state report card put out by the American College of Emergency Physicians.

And how did Michigan measure up, you might ask? Well, it turns out we're failing in access to emergency health care. We heard some recommendations about ways to move forward.

Then, we met a woman who’s trying to help people come together to have some uncomfortable, but enlightening, conversations about race, class and more.

And, we spoke with Daniel Howes about Tom Lewand, Detroit’s job czar.

Also, “Saturday Night Live” just hired its first black female cast member in five years. Will this bring more attention to other black comedians?

And, a Michigan historian gave us a closer look at how Michigan milkweed helped us in World War II.

Also, the Michigan Human Society has a new way to find homes for their animals: social media.

First on the show, how do you best measure the progress of students in Michigan's classrooms and, by extension, the effectiveness of their teachers?

It's one of the thorniest challenges being debated in Michigan education.

For years, the Michigan Education Assessment Program (MEAP) and the Michigan Merit Examination (MME) have been the assessment tools. Now, with the move to the Common Core Standards, it's out with the MEAP and MME and in with the what?

Districts around Michigan are gearing up for an online adaptive assessment test in the spring of 2015.

The Michigan Department of Education says the state has only one option for testing students on the Common Core State Standards for the next three years.

And that option is the Smarter Balanced Assessment – the SBA.

But state lawmakers haven't made that official.

We wondered how districts  are preparing for the SBA or whatever test they're told to administer next year.

William Heath is the superintendent of the Morrice Area Schools and principal at Morrice Junior and Senior High School located in Shiawassee County. He joined us today.

Stateside
4:53 pm
Thu February 13, 2014

According to a new report, Michigan is failing in access to emergency care

Is a health care emergency coming in 2014?
(photo by Steve Carmody/Michigan Radio)

How are we doing as a state and as a nation, when it comes to our emergency rooms and access to emergency health care?

According to a report card recently released by the American College of Emergency Physicians, not very well. Michigan received a grade of "D" in access to emergency care.

Why are we failing in access to this life-or-death care in Michigan?

Dr. Michael Nauss is a senior emergency room physician at Henry Ford Hospital in Detroit. And he's a board member of the Michigan College of Emergency Physicians. He joined us today.

Listen to the full interview above.

Politics & Government
7:30 am
Thu February 13, 2014

In this morning's headlines: Health care, juveniles, roads

User: Brother O'Mara flickr

More Michiganders signing up for health care than expected

"About 112,000 Michigan residents chose a private insurance plan under the federal health care law through January, outpacing what was projected in a government memo last summer," the Associated Press reports.

Juvenile lifer sentencing rules head to the governor's desk

"Michigan lawmakers have given final approval to new sentencing rules after the U.S. Supreme Court struck down mandatory life imprisonment for juveniles. The bills now head to Gov. Rick Snyder for his signature. The legislation applies to future cases and not retroactively to more than 350 Michigan inmates under 18 when they committed crimes," the Associated Press reports.

Lowest amount of money spent on roads in the U.S.: Michigan

"Michigan spends less money per capita on our roads and bridges than any other state in the nation. We spent just $154 dollars per person, according to the 2010 Census," Michigan Radio reports.

Stateside
5:15 pm
Thu February 6, 2014

Free student-run medical clinics provide health care to uninsured

Michigan Health Insurance Program is offering more options to people with pre-existing conditions.
user striatic Flickr

It could happen in a field near an abandoned building in Detroit. Or a now-defunct library in a small rural town.

The locations may differ, but the mission is the same: medical students reaching out to provide health care to uninsured people.

The student-run free medical clinic is an outreach effort that’s offered by most medical schools. Usually, it’s staffed by first and second year med students who are responsible for virtually every aspect of the clinic. An M.D. is on hand to write prescriptions and confirm diagnoses. But it really is these med students who are giving most of the care.

What are the pros and cons of these free student-run clinics?

Jennifer Xu is a medical student at the University of Michigan. She recently wrote a piece for The Atlantic entitled “Letting Medical Students Run The Clinic.” She joined us today to tell us more about it.

Listen to the full interview above.

Politics & Culture
4:56 pm
Thu February 6, 2014

Stateside for Thursday, Feb. 6, 2014

After years of debate, Congress has sent the almost $1 trillion farm bill to President Obama, and, as usual, opposition to the legislation was a left-right affair. On today's show: Congressman Dan Kildee of Flint joins us to talk about why he voted in favor.

Then, Michigan Radio’s political commentator Jack Lessenberry explained why fixing Michigan’s voting system may be harder than you think.

And, medical students are reaching out to provide health care to uninsured people. We spoke with one of these students about free student-run medical clinics.

And, a new mobile and Web app is providing food for hungry children in Grand Rapids.

Also, we spoke to an economist from the University of Michigan about the success of Lyndon B. Johnson’s War on Poverty.

And, the owner of Stonehedge Fiber Mill in East Jordan, Michigan, joined us today to tell us about how she was approached to provide yarn for the Ralph Lauren Olympic closing ceremonies sweaters. 

First on the show, it's Thursday, which means it's time for our weekly check-in with Detroit News business columnist Daniel Howes.

He's been going through Gov. Snyder's proposed budget for the new fiscal year and has decided the governor's got something going for him: what President George Herbert Walker Bush called "The Big Mo."

Daniel Howes joined us today to discuss the issue.

Stateside
4:30 pm
Tue February 4, 2014

Can we get the best medical treatment while controlling health care costs?

401(k) 2013 Flickr

What's your reaction when the conversation turns to America's soaring health care costs – when you hear that by 2020, just six years from now, our health care spending will hit $4.5 trillion?

Maybe it's all too big, too "macro" for us to absorb on a personal level.

So try this: Should your 92-year-old grandmother undergo coronary artery bypass graft surgery –surgery that costs upwards of $20,000?

What about a girl who's 17 years old? Her leukemia treatments aren't working. Her liver is failing, other organs are failing, she is near death and her family is demanding a liver transplant, which the surgeon proposed, but the HMO refuses to authorize?

These are real-life dilemmas facing doctors, patients, and us.

We want everything modern medicine can offer, but as taxpayers we want health care costs controlled.

Can we achieve both goals?

Leonard Fleck, a professor of philosophy and a medical ethicist from Michigan State University, joined us today.

Listen to the full interview above.

Education
9:41 am
Mon January 20, 2014

MSU to pay out bulk of $7M health reimbursements

Michigan State University, East Lansing, Michigan (file photo)
Steve Carmody/Michigan Radio

EAST LANSING, Mich. (AP) - Michigan State University soon will pay out the bulk of $7 million in negotiated health care reimbursements to thousands of union workers.

School spokesman Jason Cody says the payments of more than $1,000 each will show up Friday in paychecks for employees paid every other week, and Jan. 31 for those paid monthly.

The Lansing State Journal reports the employees include roughly 5,800 mid-level managers, police officers, cafeteria workers and others represented by eight unions.

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Stateside
4:13 pm
Wed January 15, 2014

How many Michiganders have enrolled for insurance under the Affordable Care Act?

More than 75,000 Michiganders have enrolled in health insurance offered under the Affordable Care Act.
Courtesy of Children First

It's been a little over two weeks since the Affordable Care Act officially kicked in.

How many people have been able to enroll? How many are getting financial assistance to help pay for their plan? And what deadlines do we need to be aware of?

Joining us once more is Don Hazaert, director of Michigan Consumers for Healthcare, one of Michigan's four navigator agencies for the ACA.

Listen to full interview above. 

Health
5:04 pm
Wed December 11, 2013

More Michiganders signing up for Obamacare, but the numbers are still low

Healthcare.gov
Steve Carmody Michigan Radio

More Michiganders are signing up for health insurance through the federal Affordable Care Act.

Problems with the federal website made it difficult for people to sign up initially.

In Michigan, fewer than 1400 people signed up in October. But after a website overhaul, more than five thousand Michiganders completed the process in November.

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Politics & Government
4:03 pm
Fri November 22, 2013

Highlights from Issues & Ale: The Affordable Care Act

Earlier this week we hosted an Issues & Ale event on the Affordable Care Act, and almost 150 people attended.

For everyone who was not able to attend, here are some of the main takeaways from the panel discussion with Marianne Udow-Phillips, the Director of the Center for Healthcare Research & Transformation, Don Hazaert, the Director of Michigan Consumers for Healthcare, and Melissa Anders, a statewide business reporter with the MLive media group in Lansing.

What should people understand about the Affordable Care Act?

People should understand first of all that the Affordable Care Act is not a website, nor is it a "catchall for everyone's anxieties about health care," according to Hazaert, as many people have concerns about health care that have nothing to do with the Affordable Care Act. It is a law.

“This law is a law that is, in some ways, an incremental change to health care. It’s building on the existing non-system,” said Udow-Phillips. “We have a complicated and convoluted current system of health care, the law doesn’t fix that.”

Instead, it is designed to fill in the gaps, not fix it. Under the Affordable Care Act, more people will get coverage, but there will be people who end up paying more.

Also, do not wait until the website is fixed to start thinking about health care.

“There’s lots of information out there right now to help you understand what your choices are,” said Anders. “You actually can go on the website . . . and click on a link that will show you what the plans are in Washtenaw County, or wherever you’re from, and will tell you what the prices are and what you might be eligible for.”

The health plans themselves also have good websites that allow you to compare information.

Can you keep your current health care if you like it?

There has been a lot of confusion over this. Ultimately, it is up to your state insurance commissioner to decide how to implement the policy change. In Michigan, we are still waiting to hear back from our state insurance commissioner about this.

It is also up to the insurance companies. So even if the commissioner approves, individual insurance companies can still decide whether or not to extend their plans.

People on Medicare will see no change under the Affordable Care Act. Employer plans will also stay mostly the same.

The big changes will be in the individual market.

“People are paying an enormous amount right now for very bad coverage, and people are very unhappy,” said Udow-Phillips. “We did a survey last year of citizens in Michigan, and people who had coverage that they bought themselves through the individual market, 44% of them said they were happy with their coverage.”

That is lower than people with any other type of health care. Under the Affordable Care Act, more people in the individual market will get better coverage for less.

Who still won't be covered?

Undocumented immigrants will not be receiving any coverage under this law. In fact, they were purposely excluded.

Additionally, people who are exempt from penalties may not have insurance, or people may choose to pay the penalties rather than get insurance.

There are a number of other circumstances which allow for exemptions. People who cannot afford insurance, people in prison, and people who cannot have health care due to their religious beliefs will be eligible for waivers.

To hear the full discussion and the Q & A session that followed, click the audio above.

Politics & Culture
4:22 pm
Wed October 30, 2013

Stateside for Wednesday, October 30th, 2013

Michigan is home to five national parks and there are lots of open spaces where you can camp, hunt and enjoy nature. But, yesterday, an Oklahoma Senator recently said two Michigan landmarks are a prime example of wasteful federal spending. We found out what’s behind the senator’s reasoning and whether there is some truth to his concerns.

 Then, we took a look at a new proposal by a group of Democrats in the Michigan House that would require the state to determine the actual cost of educating a public school student in Michigan. That got us thinking, shouldn't we already know?  We also spoke with Michigan writer Donald Lystra about his new collection of short stories. And, Ann Arbor now has its own Death Café, organized by funeral home guide Merilynne Rush. She stopped by to tell us more about it. But, first on the show, ever since the government unveiled its healthcare.gov website, the headlines surrounding the Affordable Care Act have been about the problems with the way the site was designed and the extreme difficulty Americans have had in getting on the exchange. But what about the Americans that don't need healthcare.gov? The ones who already have plans? To those consumers, President Obama has been saying this since 2009:

“If you like your current insurance, you will keep your current insurance. No government takeover, nobody’s changing what you’ve got if you’re happy with it.”

So why, then, then are some 2 million Americans - about 140,000 in Michigan - getting cancelation letters from their insurers over the past couple of weeks?

Marianne Udow-Phillips directs the Center for Healthcare Research and Transformation, a non-profit partnership between the University of Michigan and Blue Cross/Blue Shield of Michigan. She joined us today.

Stateside
5:23 pm
Tue October 8, 2013

Comparing the U.S. healthcare system to the United Kingdom's system

photo by Anna Strumillo Phuket - Thailand www.fotopedia.com

The state and federal healthcare exchanges are, of course, a big chapter in the overhaul of the American healthcare model - a model that's very different from many other countries around the world.

The BBC's Alice Castle has lived in the U.S. and the United Kingdom. She's had the experience of being pregnant in both countries.

Click the audio above to listen to her unique perspective on the American healthcare system.

Opinion
8:51 am
Wed October 2, 2013

Belle Isle is a rare victory for common sense in government

Lessenberry commentary for 10/2/13

Something good happened yesterday, something smart and rational that will help improve people’s lives. This was not typical of the day, mind you. Actually, yesterday was a day of supreme irrationality in federal, state and local government.

Nationally, the government shutdown continued, with Republicans vowing to take the nation over a cliff unless Democrats agree to defund the Affordable Care Act. This happened on the same day that millions rushed to sign up for health insurance plans.

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Opinion
8:29 am
Tue October 1, 2013

Michigan and the shutdown

Lessenberry commentary for 10/1/13

A former student who shares my appreciation of history told me last night that he had found one high-ranking Republican who would have opposed the government shutdown. That gentleman, who once made a famous speech in Kalamazoo, told fellow Republicans in New York “I see that some, at least, of you are those who believe that an election being decided against them is no reason why they should sink the ship.“

That’s a good and reasonable philosophy of government. Unfortunately, the man who said that, himself a former Congressman, is Abraham Lincoln, and he happens to be dead. Lincoln said those words while struggling to save the nation from breaking apart just before his first inauguration. The fault was with Democrats then.

To an increasing number of people, the shutdown of the federal government today is the fault of the Republicans. To me, the nature of what is happening ought to be pretty frightening regardless of who is to blame.

Republicans in Congress are saying they won’t allow the government to be funded unless the President and Congress agree to stop the Affordable Care Act from taking effect this year.

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