Edie Kieffer and U-M Researchers Rigorously Evaluate the Healthy Michigan Plan

Professor Emerita Edie Kieffer’s latest research “Diagnosis and Care of Chronic Health Conditions Among Medicaid Expansion Enrollees: A Mixed-Methods Observational Study, was included in a front page Washington Post story. The study finds people with chronic conditions are significantly more likely to report improved physical and mental health since enrolling in the Healthy Michigan Plan, the state’s expanded Medicaid program. Ann-Marie Rosland, now an associate professor of medicine at the University of Pittsburgh, School of Medicine, is the first author of the study. Originally published in published in the Journal of General Internal Medicine, the research has also inspired an article on U-M’s Institute for Healthcare Policy & Innovation (IHPI) website. Kieffer has been a member of IHPI’s Healthy Michigan Plan evaluation team since its beginning in 2014.

Kieffer led the qualitative interview component of the evaluation and is also survey team member. “This was a mixed methods study, which uses both survey and interview data, and integrates the results” she explains. She was responsible for analyzing the interview data and integrating key interview themes and quotations with the survey results in the manuscript. 

“Why do we include interview data?  It is used as part of the evaluation because personal stories are important,” says Kieffer. “Policymakers are often most moved by the stories – these bring the numbers alive.  The interviewees told truly important stories about the impact of having the Healthy Michigan Plan on getting diagnosed, getting needed care to help them to manage their conditions, and on the functional impact on their lives.”