Budget Process
Comments on Medicaid maternity bundle plans
DSS is planning to move Medicaid payments for maternity services to a per-person bundle from the current fee-for-service arrangement. They will also expand services to include doula and lactation supports. However, advocates have asked questions and raised concerns about unintended consequences when providers make more money by reducing the costs of their patients’ care. While…
Read MoreNo evidence to justify price increases for eight of top 10 most costly drugs
ICER’s latest Unsupported Price Increase report from the Institute for Clinical and Economic Review finds that, last year, eight of the ten most costly drugs in the US that raised net prices well over the rate of general inflation, had no new clinical evidence of effectiveness to justify the increases. The increases on just these…
Read MoreAnalysis: Healthcare defies softening labor market
The post-COVID hot labor market is cooling in Connecticut and across the US. While some industries are still seeking qualified workers, others are fully employed or even laying people off. But healthcare hiring is still scorching hot, with no end in sight. It’s increased demand for care but also the stresses of the job. Read…
Read MoreCT Medicaid Primary Care Redesign: What the Evidence Says Part 4: Better, Safer Options
Download the full report with sources Connecticut Medicaid is considering reforms to primary care delivery and payment. The CT Health Policy Project is collecting evidence from other states and programs to help inform that planning. Part 1 focused on Connecting with community services to improve health. Part 2 explored primary care payment reform, especially value-based…
Read MoreBook Club: Healthy Voices, Unhealthy Silence: Advocacy and Health Policy for the Poor
It was difficult to read Healthy Voices, Unhealthy Silence by Colleen Grogan and Michael Gusmano; thankfully it is short. It explores Connecticut’s adoption of managed care for Medicaid in 1996. The picture it paints is not flattering. Published in 2007, I’m embarrassed that I hadn’t seen this book before now. The authors track the implementation…
Read MoreICER seeking nominations for New England evidence review council
The Institute for Economic and Clinical Review (ICER) is seeking nominations for new members to the New England Comparative Effectiveness Public Advisory Council (New England CEPAC). In my time on the New England CEPAC, it was an exciting dive into learning new things with a team of exceptional experts and colleagues from across the region.…
Read MoreICER fair access report finds improvements but problems with transparency
ICER’s third annual Barriers to Fair Access report found that most prescription drug coverage policies met fair rules for patient access. This is an improvement over previous years suggesting that transparency and public sunlight works. But the report also found that policies needed more transparency and are too complex. Policies on which patients are eligible…
Read MoreBook Club: We’ve Got You Covered
I wasn’t looking forward to reading yet another book promoting yet another idea to solve America’s broken healthcare system. But it’s my job, so I dove into We’ve Got You Covered: Rebooting American Health Care by Liran Einav and Amy Finkelstin. I’m a convert now – mostly. The first half of the book is the…
Read MoreCT Medicaid primary care redesign: Payment reform
Download the full report with sources Connecticut Medicaid is considering reforms to primary care delivery and payment. The CT Health Policy Project is collecting evidence from other states and programs to help inform that planning. Part 1 focused on Connecting with community services to improve health. A major part of DSS’s planning for reform is…
Read MoreCT primary care redesign: What the evidence says
Early in 2023, Connecticut’s Department of Social Services (DSS) embarked on an ambitious planning process to make significant changes to primary care delivery and payment in our state’s Medicaid program. DSS’s planning committee meeting materials and recordings are available here. In Connecticut, there have been differing perspectives about the status of primary care, Medicaid and…
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