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John Z. Ayanian, MD, MPP

@ihpidirector.bsky.social
372 followers 266 following 506 posts

Director, University of Michigan Institute for Healthcare Policy & Innovation (IHPI), uniting 800+ @umich.edu faculty who do health services research to improve #healthcare & #healthpolicy. General internist and healthcare policy researcher. ihpi.umich.edu

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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 24/09/2026
Join IHPI's Oct. 7 webinar featuring Caren G. Solomon, senior deputy editor @nejm.org, for insights on #climate and #health research 🌎, publishing 📝, and communicating why research matters to broad audiences. Learn more & register: ihpi.umich.edu/news-events/...
ihpi.umich.edu
Climate, Health, and Beyond: An NEJM Editor’s Perspective on Publishing Your Work
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 23/09/2026
Interesting new work by a team of IHPI members from @umisr.bsky.social:
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 21/09/2026
In a new paper in @jamanetworkopen.com, colleagues Vineeth Amba of Mt. Sinai, Sumit Agarwal & Renuka Tipirneni of U-M, and I examine the 'roller coaster' of health insurance access, work hours & income that many low- and middle-income American working adults are on: jamanetwork.com/journals/jam...
Illustration of a roller coaster with tangled tracks and four people on it
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 19/09/2026
Our annual tailgate for the @umich.edu Institute for Healthcare Policy & Innovation is a prized tradition that brings together faculty, scholars & their partners & families. Even if they aren't going to the game. Today, thankfully, it's indoors. ☔ Members, join us: ihpi.umich.edu/news-events/...
IHPI tailgate September 19
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 14/09/2026
Congrats to the 2026 recipients of IHPI's Sandy-Hassmiller Early Career Health Services Research Award! Joy Chang & Jazzmyne Montgomery of U-M Medical School & Spruha Joshi @umichsph.bsky.social will each receive ~$10,000 to advance innovative, equity-focused projects: ihpi.umich.edu/news-events/...
Sandy-Hassmiller Early Career Health Services Research Award
2026 Awardees: Joy Chang, MD, MS; Spruha Joshi, PhD, MPH; Jazzmyne Montgomery, MD
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 09/09/2026
Today, we had two great gatherings of IHPI faculty members & staff: one to welcome more @umich.edu #primarycare researchers who’ve moved into our HQ building, the other to share a sweet treat with our #healthservicesresearch community as we kick off the academic year. Thanks to all who joined us!
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 02/09/2026
Every month, our institute publishes a newsletter aimed at keeping policymakers, journalists, community members, alumni, and others informed about the work of the 800+ members of @umich.edu health services researchers. Check out the latest issue: myemail.constantcontact.com/IHPI-Informs...
myemail.constantcontact.com
IHPI Informs - August 2026
Email from U-M Institute for Healthcare Policy & Innovation AUGUST 2026         NEWS TO NOTE Timely news and information   POLICY IMPACT SNAPSHOT Improving substance use disorder treatment through in
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Institute for Social Research (ISR) - University of Michigan @umisr.bsky.social · 31/08/2026
CSCAR@ISR is now supporting U-M faculty, staff and graduate students with statistical consulting, workshops and research support. Expertise from ISR, Statistics and Biostatistics. Explore CSCAR@ISR and learn how the team can support your research: cscar.isr.umich.edu @bradytwest.bsky.social
CSCAR@ISR Is Now Open; text reads Statistical consulting, workshops and research support for the U-M community; three people review charts, graphs and data on a laptop beside an illustration of a U-M campus tower. Three areas represent Institute for Social Research (ISR), Department of Statistics, and Department of Biostatistics. Services listed along the bottom are Consultations, Workshops, and Research Support; Institute for Social Research appears in the footer.
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 28/08/2026
Our institute prides itself on recognizing work that has made a difference in clinical practice and #healthpolicy through our annual Policy Impact Award. Dr. Coughlin was one of this year's recipients for this work, and this summary shows why.
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 18/08/2026
In this @michigandaily.bsky.social article, @noraverlaine.bsky.social and I discuss recent findings from our IHPI team’s 10-year evaluation of Michigan’s #Medicaid expansion, showing its long-term health and financial benefits for enrollees: www.michigandaily.com/news/researc...
michigandaily.com
UMich studies find long-term benefits from Medicaid expansion
Studies from the University of Michigan revealed significant long-term health and financial benefits of Michigan's 2014 Medicaid expansion.
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 18/08/2026
NEW @jamanetworkopen.com: A study led by IHPI member Alex Janke finds wide variation among hospitals in how many hours emergency department boarding patients wait before they start receiving inpatient-quality care. Read about the findings & patient safety implications: ihpi.umich.edu/news-events/...
ihpi.umich.edu
Waiting for a bed, but not for care: Emergency department boarding study finds wide variation in handoffs
How long ED boarders wait to be seen by an inpatient team, including in the ED before they move to a hospital unit, could make a key difference in their care and safety
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Vicki A. Freedman @vafreedman.bsky.social · 06/08/2026
New paper led by @spattersearch.bsky.social on cohabitation and unmet care needs in later life. @nhats-nsoc.bsky.social
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Vicki A. Freedman @vafreedman.bsky.social · 06/08/2026
ICYMI Our latest research with #NHATS finds growing care needs among escalating numbers of older adults ages 65-74. The nation is not prepared.
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 03/08/2026
Excellent news for all at U-M - the new model of CSCAR, with statistical consulting support for researchers, including up to three free consultations. It's led by IHPI member @bradytwest.bsky.social and funded by @umichresearch.bsky.social, the Rackham Graduate School and @umisr.bsky.social
Graphic showing that CSCAR at ISR is a statistical consulting service  at the University of Michigan blending services from ISR, the department of Statistics and the department of Biostatistics
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 30/07/2026
On this day in 1965, the law creating #Medicaid and Medicare was signed. Our researchers at the @umich.edu Institute for Healthcare Policy and Innovation have done many studies to evaluate both programs - including this recent report on Michigan’s Medicaid expansion: ihpi.umich.edu/news-events/...
ihpi.umich.edu
Michigan’s Medicaid expansion improved both health and finances
U-M report shows individuals, hospitals and primary care clinics all experienced positive impacts, but raises concerns about cost-sharing provisions that all states must soon enact
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Brady West @bradytwest.bsky.social · 21/07/2026
This should be a fantastic workshop, and it is free to all!
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 21/07/2026
Featuring comments from IHPI member @pamherd.bsky.social :
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jeremysussman.bsky.social @jeremysussman.bsky.social · 21/07/2026
Brief thread describing our paper on the new cholesterol guidelines. Take-home: The new guidelines increase the number of American's recommended statins by almost a third, with over half of all American adults now recommended statins. @timandersonmd.bsky.social
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 21/07/2026
Studying how specialty society guideline updates will affect prescribing that mainly occurs in #primarycare settings is an important goal of health services research. Take, for example, these new findings by IHPI member Jeremy Sussman & colleagues at Pitt, published in @jama.com: michmed.org/zdRjw
michmed.org
More than half of U.S. adults now qualify for statins under new guidelines
Updated recommendations for cholesterol-lowering therapy mean 21.5 million more people are eligible based on long-term risk for heart attack and stroke
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 17/07/2026
I’m quoted in a new @kffhealthnews.org story featured in the @washingtonpost.com, about the implications of Medicaid work requirement rules for physicians who treat people with chronic conditions: wapo.st/4fkJAOy Thanks, @samuelwhitehead.bsky.social, for the opportunity to discuss this topic.
wapo.st
Doctors fear Medicaid changes will force them to decide who’s too sick to work
Physicians say new Medicaid rules starting Jan. 1 regarding employment will undermine their relationships with patients.
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 16/07/2026
Four years ago today, the federally funded 988 Suicide & Crisis Lifeline launched, giving access to #mentalhealth and #substanceuse crisis support around the clock via call, text & chat. But our new poll shows that most people aged 50 and over still aren't aware of this service: michmed.org/mKVmN
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 13/07/2026
Four years ago, the 988 Suicide & Crisis Lifeline launched, and Americans have used its phone, text and chat options 26 million times since. But our new National Poll on Healthy Aging, and Michigan Poll on Healthy Aging, suggest a lack of awareness among people over 50: michmed.org/mKVmN
31% of people over 50 have never heard of any crisis line, and 69% have never heard of 988, according to new findings from the National Poll on Healthy Aging based at the University of Michigan Institute for Healthcare Policy and Innovation. Only 31% said they had heard of 988.
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 10/07/2026
The #healthpolicy fellowship from @rwjf.org & @nam.edu offers an unparalleled opportunity for academics to provide expertise to D.C. policymakers & gain experience to inform their research. Congratulations to Dr. Renuka Tipirneni on being named one of the new fellows! ihpi.umich.edu/news-events/...
Renuka Tipirneni, MD, MSc
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 06/07/2026
In 2023, IHPI's National Poll on Healthy Aging found that 76% of older adults believed #Medicare should cover weight loss medications. Now, that coverage is becoming a reality for some through a new program. Learn more in this explainer featuring @loshman.bsky.social: ihpi.umich.edu/news-events/...
ihpi.umich.edu
Explainer: 7 things to know about Medicare’s new GLP-1-based medication coverage
U-M obesity expert welcomes new option for access to effective weight-loss medication, and shares the new program’s limitations
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 01/07/2026
Thank you to the Humana Foundation for supporting IHPI’s National Poll on Healthy Aging in a new survey on #loneliness and well-being among diverse older adults in Florida, Kentucky, Louisiana and Texas. We’re grateful for this investment in aging and health research: news.humana.com/press-room/p...
Humana Foundation Deepens Investment in Emotional Health
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 26/06/2026
A new policy brief highlights research by IHPI member @minalrpphd.bsky.social of @umichsph.bsky.social on the financial, social, and health-related burdens facing Michiganders with #diabetes and explores policy opportunities to improve access to affordable care. ➡️: ihpi.umich.edu/news-events/...
Many people with diabetes in Michigan experience financial stress and delayed care due to costs, even with insurance
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 18/06/2026
Michigan's aging brains need more protection, our new poll data suggest. Findings from a survey of Michiganders over 50 show many don’t know that everyday actions are very important for preserving brain health and preventing #dementia. Learn more & explore the data: ihpi.umich.edu/news-events/...
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Susan B. Meister Child Health Evaluation & Research Center @umchear.bsky.social · 12/06/2026
📄New from @pedibddoc.bsky.social @samirgadepalli.bsky.social Findings on antibiotic stewardship for CD related PFC from SETON (Standardization of Evaluation to Treatment of pediatric perianal CD & improving Outcomes through Networking). 🔗 sciencedirect.com/science/arti... @ihpidirector.bsky.social
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 09/06/2026
Today, our team is proud to present findings from our 10-year evaluation of Michigan’s Medicaid expansion, called the Healthy Michigan Plan. We hope our work will inform all expansion states as federal policy changes take effect in coming months. Read more: ihpi.umich.edu/news-events/...
ihpi.umich.edu
Michigan’s Medicaid expansion improved both health and finances
U-M report shows individuals, hospitals and primary care clinics all experienced positive impacts, but raises concerns about cost-sharing provisions that all states must soon enact
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 09/06/2026
Today, our team is proud to present findings from our 10-year evaluation of Michigan’s Medicaid expansion, called the Healthy Michigan Plan. We hope our work will inform all expansion states as federal policy changes take effect in coming months. Read more: ihpi.umich.edu/news-events/...
ihpi.umich.edu
Michigan’s Medicaid expansion improved both health and finances
U-M report shows individuals, hospitals and primary care clinics all experienced positive impacts, but raises concerns about cost-sharing provisions that all states must soon enact
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 08/06/2026
Today, the IHPI team came together for our annual staff retreat—a great opportunity to connect and reflect on our mission to support #healthservicesresearch and inform #healthpolicy that improves the quality, equity, and affordability of healthcare. Grateful for this talented and dedicated team!
A group of people wearing maize and blue, standing in a wooded area
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MiCDA-UMISR @micda-umisr.bsky.social · 04/06/2026
New work from MiCDA @umisr.bsky.social @umichsph.bsky.social affiliate Renuka Tipirneni in the American Journal of Managed Care, “Disparities in Surgical Outcomes in Medicare Advantage vs Traditional Medicare”: myumi.ch/G7zbe
myumi.ch
Disparities in Surgical Outcomes in Medicare Advantage vs Traditional Medicare | AJMC
This study evaluated differences in racial and ethnic disparities in surgical outcomes between Medicare Advantage and traditional Medicare beneficiaries, finding consistent but nonuniform smaller…
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 04/06/2026
I had a great time learning and connecting at @academyhealth.bsky.social #ARM26 in Seattle this week. At our IHPI reception, it was wonderful, as always, to catch up with @umich.edu colleagues and friends who are dedicated to advancing the quality, safety, equity, and affordability of healthcare.
A group of people talking in a reception hall
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 02/06/2026
Our National Poll on Healthy Aging is a proud sponsor of this event!
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 01/06/2026
As #PrideMonth begins, new data from our National Poll on #HealthyAging focus on two topics related to LGBTQ+ people & aging: 🔵Social connections with LGBTQ+ people by non-LGBTQ+ people age 50+ 🔵Health & social disparities for LGBTQ+ people age 50+ Learn more: michmed.org/eny2q
Graph showing that 69% of adults over 50 in the US know at least one person who is LGBTQ+. Of them, 56% say that at least one LGBTQ+ person they know is a friend, 50% say an LGBTQ+ person is a family member, 15% say an LGBTQ+ person is a coworker and 10% say an LGBTQ+ person is a neighbor. Data from National Poll on Healthy Aging
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Kara Gavin @karagavin.bsky.social · 19/05/2026
This program kicked off with an inspirational talk by Dr Alex Peahl, who described her journey to create new prenatal care guidelines and engage with policymakers to remove barriers to care.
Dr Alex Peahl sharing the story of prenatal care guidelines she helped develop and a Michigan bill providing for blood pressure monitors for pregnant women she helped inform
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 19/05/2026
This morning, we welcomed the 14 @umich.edu faculty who have committed 3 days of their time to learning to communicate their work beyond academia to have impact on policy and practice, through our Impact Accelerator “boot camp” program. Welcome to our 4th cohort! ihpi.umich.edu/members/poli...
John Ayanian welcomes members of the Impact Accelerator cohort
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 18/05/2026
🎓 Congrats to all 2026 U-M graduates! Special shoutout to the newest M.D. grads of the IHPI-sponsored Health Policy & Health Economics Path of Excellence. Your commitment to improving health policy and care delivery will make a lasting impact. #GoBlueMD ihpi.umich.edu/education-tr...
<3 graduation caps> Congratulations! 2026 Grads of the U-M Medical School Health Policy & Economics Path of Excellence 

List of the names: Gareema Agarwal - Kriti Agrawal - Jawad Aqeel - Colette Bare - Melody Chiang - Dana Chung - Yannet Daniel - Malak Elshafei - Caleb Ernst Francesca Giacona - Joanna Hua - Hamza Kaakarli - Zachary Kapner - Jasdeep Kler - Maxwell Kuehn - Stephanie Lee - Kara Manuel - Uzochi Nwoko - Nicolas Robinson - Kareem Sharabi - Grace Tremonti
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Susan B. Meister Child Health Evaluation & Research Center @umchear.bsky.social · 15/05/2026
📄New from Dr. Nina Hill Over 40% of US older adults cut back on basic needs, and 16.3% had healthcare access challenges. Respondents were more likely to report fair or poor health than those without challenges. 🔗 link.springer.com/article/10.1... @ihpidirector.bsky.social @journalgim.bsky.social
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Susan B. Meister Child Health Evaluation & Research Center @umchear.bsky.social · 15/05/2026
Join us Tuesday, May 19th at 9:00 AM with Noura Insolera, PhD, MA! 📆 Register for this Seminar: docs.google.com/forms/d/e/1F... 📨 Subscribe to our ListServ: chear.us14.list-manage.com/subscribe?u=... 🌐 More Events: chear.org/events @ihpidirector.bsky.social
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Susan B. Meister Child Health Evaluation & Research Center @umchear.bsky.social · 11/05/2026
Join us Tuesday, May 12th at 9:00 AM with Nora Becker, MD, PhD! 📆 Register for this Seminar: docs.google.com/forms/d/e/1F... 📨 Subscribe to our ListServ: chear.us14.list-manage.com/subscribe?u=... 🌐 More Events: chear.org/events @ihpidirector.bsky.social
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 08/05/2026
This Monday, May 11: As part of IHPI's Emerging Scholars Exchange Program, Jennifer Yarger of @ucsfmedicine.bsky.social will discuss how young adult women seek UTI care — and where #telehealth may help or fall short. Join her talk from 1–2 pm at NCRC: ihpi.umich.edu/news-events/...
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 06/05/2026
Our newest poll of people over 50 focuses on how Michiganders feel about the services available to them, and reveals differences by region, health/disability status, race and more. It provides data we hope policymakers and senior service organizations will find useful. Learn more: michmed.org/RMXDW
Older adults pointing to their hands to show where in Michigan they live
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Susan B. Meister Child Health Evaluation & Research Center @umchear.bsky.social · 30/04/2026
Join us Tuesday, May 5th at 9:00 AM with Kate Bauer, PhD, MS! 📆 Register for this Seminar: docs.google.com/forms/d/e/1F... 📨 Subscribe to our ListServ: chear.us14.list-manage.com/subscribe?u=... 🌐 More Events: chear.org/events @ihpidirector.bsky.social
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 28/04/2026
Thanks, @michiganpublic.bsky.social & @stevecarmody.bsky.social for covering our Medicaid expansion study. Great to see @noraverlaine.bsky.social featured in this story on the financial health of those enrolled in the Healthy Michigan Plan: www.michiganpublic.org/health/2026-... #healthpolicy
michiganpublic.org
Study: Healthy Michigan program also improving financial health of Medicaid enrollees
"Medicaid expansion enrollment was associated with reductions in medical debt in collections and rates of subprime credit scores as long as 7 years after enrollment," says the study published in JAMA ...
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 27/04/2026
Today, our team at IHPI published in @jamanetworkopen.com findings from the long-term evaluation we've done of Michigan's Medicaid expansion. Specifically, we looked at the impact on the financial health of enrollees. Read the paper: michmed.org/mDrwZ And our brief: www.ihpi.umich.edu/medical-debt
Medicaid expansion in Michigan was associated with large reductions in medical debt and improved credit scores
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John Z. Ayanian, MD, MPP @ihpidirector.bsky.social · 23/04/2026
Family #caregivers play a vital role in supporting loved ones and strengthening communities. Join IHPI's May 6 webinar to explore poll findings on the health, financial & support needs of caregivers in Michigan and nationwide, and learn about resources that can help: ihpi.umich.edu/news-events/...
Webinar - Supporting Family Caregivers: New Data, New Resources
Wed, May 6, 2026, 12:00 pm - 1:00 pm ET
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Susan B. Meister Child Health Evaluation & Research Center @umchear.bsky.social · 22/04/2026
📄New from Kao-Ping Chua, MD, PhD US dental opioid dispensing ⬇️27.1% from '21–'24 but was 24× the country with the lowest rate. This comparison suggests there are opportunities to reduce opioid rx by US dentists. 🔗 jamanetwork.com/journals/jam... @ihpidirector.bsky.social @kaopingchua.bsky.social
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