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 DCH 1315 Healthy Michigan Assessment FINAL PLAN COPY 4 28 14docx 2014

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We studied primary care practitioners in the state of Michigan who were caring for people who were insured by hEvalthy Michigan the Medicaid expansion, and we looked at primary care practitioners in particular because they're sort of the front lines of medical care we wanted to see what their experiences were primary care practitioners said people are getting care that they would not otherwise get that they would otherwise wind up in an ER four people were gaining access to care they didn't have before that that was able to improve their medication adherence they were getting access to preventive services that they had never gotten before one of the things that surprised me a little was the number that said they saw patients who hadn't seen a doctor in many years' somebody who had been in Michigan his whole life hadn't seen a doctor in 40 years and of course they found he had diabetes he had hypertension, and he had had a stroke at some point which he had never noted apparently, so you

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