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Chartbook: Prescription drugs driving CT health costs across payers

According to a new Chartbook, prescription drugs are the largest driver of health costs in our state. We spend more per person on prescriptions than all states but Delaware and that number is rising faster here than most states. Charts regarding Medicaid spending have been corrected to reflect that pharmacy costs in the program have…

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

This week, independent advocates launched PCMHPlusFacts.org, 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

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Medicaid Study Group recommendations to preserve, build on Medicaid success

Actions to protect Medicaid success long-term Connecticut Medicaid Study Group Since moving away from capitated managed care plans in 2012, Connecticut’s Medicaid program has enjoyed enormous success. Per capita spending is actually down, saving hundreds of millions of tax dollars every year, and making Connecticut the best performing state in the US at controlling costs.…

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Chartbook: CT drugs costs high and growing fast

14.4% of our state’s economy was devoted to health care services in 2014, slightly below the US average, according to a new Chartbook on CT health spending. Based on newly released data from CMS actuaries, the analysis finds that CT health costs per person are not surprisingly high but we out-perform most other states in…

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Advocates document concerns with PCMH+ implementation

The Medicaid Study Group, a coalition of independent consumer advocates, have published an update on CT Medicaid’s new payment reform experiment, PCMH+, fact sheet and report. The program started January 1st with 137,037 members. Under the new shared saving payment model, large health systems (called ACOs in other states and programs), get half the health care savings…

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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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Courant Op-Ed: Plan to ‘Fix’ State Medicaid Program Flawed

From Saturday’s Hartford Courant, “These are lean times and we need our government to be smart about where it puts its resources. We don’t need our limited taxpayer dollars spent “fixing” things in our Medicaid program that aren’t broken.” The article points out the state’s backward plan, PCMH +, to apply a risky experiment, meant to slow…

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Study raises concerns about ACO “savings” and gaming the system

  A new study published in Health Affairs raises doubts about the effectiveness of Accountable Care Organizations (ACOs) to both improve the quality of American health care while controlling costs. The study found very high physician turnover rates at a large Medicare ACO and that high cost patients were concentrated among a small minority of…

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