Health Reform

Lamont transition health committee first meeting

The Lamont transition policy committees held their first meeting in Willimantic yesterday. After public speeches, the committees began their work with a short public meeting and then moved into private meetings. The Health Committee is Co-Chaired by Jennifer Jackson, CEO of the CT Hospital Association, and Gerald Weiner, of Sussman, Duffy, Segaloff and a member…

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Disability advocates register serious concerns with SIM primary care capitation plan

On Friday, thirty consumers and advocates for people with disabilities sent a letter to Vicki Veltri and Mark Schaefer, CT’s SIM officials, expressing their concerns with SIM’s proposal to capitate primary care for everyone in CT. The signers are concerned about the potential to deny needed care, especially for people with complex medical conditions. Capitation…

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Connecticut’s uninsured rate up, reversing four-year trend

New numbers from the US Census Bureau report that 194,000 or 5.5% of Connecticut residents were uninsured last year. That number is up 22,000 from the year before when the uninsured rate was 4.9%. The new data breaks a trend of fewer uninsured that began with implementation of coverage expansions under the Affordable Care Act…

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CT uninsured numbers up breaking four year trend

The US Census estimates that last year 194,000 CT residents, 5.5% of us, were uninsured according to data released today. That is up 22,000 and 4.9% from the previous year’s estimate. This mirrors national trends with 715,000 more uninsured Americans last year than in 2016. Unfortunately CT lost more ground from 2016 to 2017, with…

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Connecticut Medicare ACOs overspent by $45 million in 2016

Data from CMS show that in 2016 Connecticut’s Accountable Care Organizations (ACOs) together spent $45 million more on care for Medicare beneficiaries above risk-adjusted benchmark spending levels. ACOs are networks of providers across the continuum that coordinate care for people and receive a share of the savings they generate. All of Connecticut’s Medicare ACOs only…

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WNPR’s Where We Live focuses on skyrocketing prescription costs, ACA protections at risk

Yesterday, WNPR’s Where We Live, “Sick of the Cost of Prescription Drugs?”, drilled down into the rising costs of prescription drugs that are squeezing out other priorities and on Trump administration ACA policies that jeopardize coverage for people with preexisiting conditions and raise premiums for everyone. Guests included US Senator Chris Murphy, State Rep. Sean…

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Medicaid update: Quality was rising through 2016, raising concerns about PCMH+

Friday’s MAPOC meeting focused on Medicaid quality and access information from CHNCT, DSS’s administrative contractor for the program. Across the 12 (of over 100) quality measures chosen, there was modest but sustained improvement from 2014 through 2016. However community health center performance consistently lags behind other PMCH practices across the quality measures. Of particular concern…

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Rest of US catching up with CT – Medicaid managed care doesn’t work

Two Health Affairs blog posts highlight the disappointments states are having with their capitated Medicaid managed care programs. Managed care across the US is growing fast, making big profits for private insurance companies, promising improved health outcomes and lowering costs. But CT found exactly the opposite effect when we shifted away from capitated managed care…

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