Health Risk Assessments in Michigan's Medicaid Expansion: Early Experiences in Primary Care.

Introduction: Michigan is one of 3 states that have implemented health risk assessments for enrollees as a feature of its Medicaid expansion, the Healthy Michigan Plan. This study describes primary care providers' early experiences with completing health risk assessments with enrollees and examines provider- and practice-level factors that affect health risk assessment completion.

Methods: All primary care providers caring for ≥12 Healthy Michigan Plan enrollees (n=4,322) were surveyed from June to November 2015, with 2,104 respondents (55.

Evaluating community deliberations about health research priorities.

Context: Engaging underrepresented communities in health research priority setting could make the scientific agenda more equitable and more responsive to their needs.

Objective: Evaluate democratic deliberations engaging minority and underserved communities in setting health research priorities.

Methods: Participants from underrepresented communities throughout Michigan (47 groups, n = 519) engaged in structured deliberations about health research priorities in professionally facilitated groups.

Factors influencing primary care providers' decisions to accept new Medicaid patients under Michigan's Medicaid expansion.

Objectives: Michigan expanded Medicaid under the Affordable Care Act (ACA) through a federal waiver that permitted state-mandated features, including an emphasis on primary care. We investigated the factors associated with Michigan primary care providers (PCPs)' decision to accept new Medicaid patients under Medicaid expansion.

Study Design: Statewide survey of PCPs informed by semistructured interviews.

Members of Minority and Underserved Communities Set Priorities for Health Research.

Unlabelled: Policy Points Engaging and involving underrepresented communities when setting research priorities could make the scientific research agenda more equitable, more just, and more responsive to their needs and values. Groups and individuals from minority and underserved communities strongly prioritized child health and mental health research, often choosing to invest at the highest possible level. Groups consisting of predominantly Native American or Arab American participants invested in culture and beliefs research at the highest level, while many groups did not select it at all.

Primary Care Clinicians' Views About the Impact of Medicaid Expansion in Michigan: A Mixed Methods Study.

Background: Michigan's approach to Medicaid expansion, the Healthy Michigan Plan (HMP), emphasizes primary care, prevention, and incentives for patients and primary care practitioners (PCPs).

Objective: Assess PCPs' perspectives about the impact of HMP on their patients and practices.

Design: In 2014-2015, we conducted semi-structured interviews then a statewide survey of PCPs.

The State as Community in Community-Based Participatory Research.

Background: Community-based participatory research (CBPR) typically defines communities by geography, ethnicity, shared health needs, or some combination.

Objectives: We describe a CBPR project aiming to engage diverse minority and underserved communities throughout Michigan in deliberations about health research priorities.

Methods: A steering committee (SC) with 15 members from minority and underserved communities and 4 members from research organizations led the project, with the help of regional advisory groups (RAGs) formed at the SC's request.