The state’s announcement that Medicaid intends to double down on PCMH+ — the experimental, risky new payment model – starting in March without any idea of how it harmed (or helped) over 100,000 people last year is the top concern moving into 2018. It’s also emblematic of how CT makes health policy – flying blind, following questionable but “trendy” models without any data. Thousands more working parents are facing the loss of HUSKY coverage, that through very hard work is now providing real access to quality care, while controlling costs. Ethics, over-compensation, poor leadership, and lack of accountability concerns continue. The bright note — the Health Care Cabinet is dangerously close to meaningful policy recommendations to control drug costs.