ASPPH logo


Member Research & Reports

Member Research & Reports

BU Researcher Co-Authors Report Lauding Michigan’s Medicaid Expansion

Michigan’s success in implementing Medicaid expansion can be a model for other states with bipartisan or Republican-led governments, according to a new report by the Center for Healthcare Research & Transformation (CHRT) that was co-authored by a Boston University School of Public Health (BUSPH) researcher.

Dr. David K. Jones, assistant professor of health policy & management and a graduate of the University of Michigan School of Public Health, along with co-authors, examined Michigan’s decision to expand its Medicaid program and join the federal insurance marketplace. As of November 1, nearly 450,000 people had enrolled in the Healthy Michigan Plan — Michigan’s expanded Medicaid program — and another 272,000 had selected coverage through the federally facilitated marketplace. The coverage expansions “have exceeded all projections at the state and federal levels,” the report says.

“This is the direct result of the coming together of key leaders representing a breadth of sectors in Michigan,” according to the report. It cites three key factors: the Republican governor’s interest in pursuing the expansion, the support of a bipartisan coalition, and the inclusion of two federal waiver requirements.

The authors noted that there is still “considerable confusion on the part of consumers about health plans that were cancelled; taxes and fees that are included in new health plans; and the complexity and design of health plans, including the balance between premiums, cost sharing, and provider networks. All these issues will take some time to sort out.”

To read more about the report, go to: