conflict of interest

Another reason to be glad HUSKY fired managed care

New favorite quote – “If you have a dumb incentive system, you get dumb outcomes.” Charlie Munger, quoted by 46brooklyn A new analysis by 46brooklyn highlights the extra costs to Medicaid managed care programs of drug industry middlemen. Ohio’s Medicaid program pays $224 extra in markups to Pharmacy Benefit Managers (PBMs) hired by managed care…

Read More

Last year CT physicians and teaching hospitals received $34 million from manufacturers and GPOs

New data shows that 21 teaching hospitals and 13,310 physicians in CT received $34 million in payments and gifts from drug and device manufacturers and Group Purchasing Organizations (GPOs) last year. Open Payments, the searchable federal data source, was created by the Affordable Care Act which requires that manufacturers disclose payments to physicians and teaching…

Read More

New Hartford HealthCare-Tufts insurance company raises concerns

Wednesday, Hartford HealthCare and Tufts Health Plan announced the formation of a new, jointly-owned insurer, CarePartners of Connecticut, to sell Medicare Advantage plans to Connecticut residents for next year, pending CMS approval. Hartford HealthCare includes thousands of providers in home health care, rehab services, long term care, behavioral healthcare, and five hospitals, to date. In…

Read More

CTNJ: Advocates must inform consumers of risks when the state won’t

This week, independent advocates launched, a campaign to give HUSKY members balanced information about an experimental, new payment model expanding across the program. PCMH Plus has risks for consumers along with possible benefits, but HUSKY members aren’t aware of them or that they have the right to opt-out of the new payment model. Read more

Read More

Advocates launch, giving HUSKY members balanced information on the controversial new program

Today, independent consumer advocates launched a website,, to explain the facts about HUSKY’s experimental, new payment plan to run the program. The site was developed in response to the state’s erosion of federally required notices to consumers about their right to opt-out of the program. The state changed the notices at the last minute…

Read More

Poor choice of monitor in YNHH-L+M deal undermines accountability

Yale-New Haven Health has chosen Deloitte & Touche to monitor compliance with conditions of their acquisition of Lawrence + Memorial Healthcare. The conditions on the unusual acquisition were set in place by the state to protect prices in the new monopoly market, protect health services for southeastern CT, oversee promised investments in the region, and…

Read More

SIM update

Across various meetings this month we’ve received a few updates on CT’s SIM planning. CT is competing with 17 other states for 12 test grants. SIM staff has acknowledged receipt of the independent advocates’ letter to CMMI and an FOI regarding Consumer Advisory Board voting and SIM budget development, but we’ve had no response to…

Read More

Early look at exchange premiums finds Hartford premium trends modest compared to other US cities

A Kaiser Foundation very early look at 2018 health insurance exchange monthly premium proposals, subject to change, across 21 US cities predicts that Hartford consumers will do well next year. The report compares early rate filings for a 40 year old non-smoker making $30,000/year choosing the second-lowest silver plan. Silver plans are the most popular.…

Read More

CT teaching hospitals received $8.3 million from drug and device manufacturers last year

New data shows that nineteen teaching hospitals and 11,016 physicians in CT received payments from drug and device manufacturers last year. Open Payments, the searchable federal data source, was created by the Affordable Care Act which requires that drug and device manufacturers disclose payments to physicians and teaching hospitals. While every CT hospital received some…

Read More
Thank you! Your subscription has been confirmed. You'll hear from us soon.