Archive for July 2015

Advocates offer help with payment reform study for CT

Among the many important provisions in SB-811, is Section 17 directing the state Health Care Cabinet to conduct a study of successful payment reform models from other states. The Cabinet is to report back to the General Assembly with recommendations for policy changes that will provide a framework to control health care costs, reward value-based…

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Happy Birthday, Medicaid — Connecticut has a lot to be thankful for

Fifty years ago today President Johnson signed the Medicaid program into law. The program now covers one in five Connecticut residents with efficient, quality care. Since switching from a capitated, insurer-based program to a self-determined, care-focused program in January 2012, costs are stable (down slightly) per person, quality is up (fewer people are going to…

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Where We Live: Medicaid is 50 and Looking Good

Fifty years ago this week, Lyndon Johnson signed Medicaid into law. On today’s show, WNPR’s Where We Livecelebrated the program that covers one in five CT residents with comprehensive care and brought $3.3 billion in federal funds to our state. More efficient than private insurance, leading the state in quality improvement as it cares for…

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SIM underservice protections get a cool reception, weak ethics policy adopted

Thursday the Equity and Access Council delivered to the SIM Steering Committee a draft report with recommendationsto avoid underservice in SIM’s planned payment reforms. Advocates were successful in getting a provision in the SIM final plan that prohibited payment of shared savings to provider networks that systematically denied needed care to generate those savings. The…

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New tool allows comparison of local surgeons’ safety record

Patients considering surgery often check their hospitals’ quality rating, but the your surgeon’s safety rating can be even more important. Half of US hospitals have surgeons with both high and low complication rates. ProPublica’s new Surgeon Scorecard allows patients to compare the safety record of surgeons by hospital. ProPublica used Medicare data to calculate surgeon’s…

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Medicaid phone wait times drop significantly

At last week’s Medicaid Council meeting we heard about strong progress toward reducing phone wait times. Average wait times dropped 52% from April to May while abandoned calls fell 42%. By the last week of June, average wait times were down to 11 minutes from 57 minutes in March. The improvements resulted in 6,466 more…

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