Health Reform

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…

Read More

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…

Read More

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…

Read More

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…

Read More

ACA Medicaid expansion benefits to CT include fewer uninsured, lower ED use, access to behavioral healthcare

A new analysis by the CT Health Foundation outlines the “unqualified success” of CT’s HUSKY expansion. In 2010 CT was the first state to exercise the Affordable Care Act option to expand Medicaid to low income, childless adults, labelling the new population HUSKY Part D. The expansion was largely responsible for cutting CT’s uninsured rate…

Read More

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…

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