CT Health Reform

Thirty-one independent consumer advocates share concerns with SIM’s latest push for capitation

Despite the historic failures of capitation in Connecticut and beyond, our state’s SIM health planning office is continuing the drumbeat to re-impose the risky system across our state, this time for primary care. In Primary Care Payment Reform: Unlocking the Potential of Primary Care, the SIM office is proposing set payments for primary care providers…

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

Today, independent consumer advocates launched a website, PCMHPlusFacts.org, 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…

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January 2018 – Connecticut drops to a C this year for health reform

Connecticut health care thought leaders lowered our state to a C grade for health reform this year, matching the lowest grades in five years. No thoughtleader rated our state an A this year. Connecticut’s grade for effort also dropped in this survey, down to C+. Health policy areas that lost the most ground included Medicaid,…

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November CT Health Reform Dashboard – status quo, again and again and again

  Like the last two months, November’s CT’s Health Reform Dashboardhas changed little. Growing and understandable mistrust remains at the core of problems in CT. Medicaid policy development and implementation is still mired in mistrust, incomprehensible and misleading consumer “notices”, rushing ahead without data, quality problems, and a lack of transparency while state officials refuse…

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August CT Health Reform Dashboard – Medicaid concerns grow but continuing hope for drug costs

CT’s August Health Reform Dashboardremains mixed. Medicaid policy development and implementation remains mired in mistrust, rushing ahead without data, quality problems, and a lack of transparency while state officials refuse to answer questions. The new state HIT plan is travelling the same troubled path from the past but thankfully physicians and others are just getting…

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Pervasive uncertainty affects CT Health Reform Dashboard

July’s CT Health Reform Dashboard reflects growing uncertainty at the state and federal levels. If passed, Congressional proposals to replace the ACA will shift massive costs onto CT and result in a sharp drop in coverage. State budget cuts threaten current services and coverage. Nevertheless, DSS is doggedly forging ahead with a questionable payment experiment…

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New data finds CT leads nation in lowering Medicaid costs

New data from CMS actuaries finds that Medicaid per capita health care spending dropped 5.7% from 2010 to 2014, better than any other state. Of note, in 2012 CT Medicaid shifted away from capitated managed care organizations to run Medicaid. Unfortunately, the rest of the CT’s market is not performing as well as Medicaid –…

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