healthcare costs

YNHH, clinics respond to state questions on primary care plan

Yesterday Yale-New Haven Hospital responded to questions from the state prompted by community and advocate concerns at a recent public hearing about their controversial plans to shift primary care for 28,500 people.  Technically patients at the new YNHH site would be attributed to the Fairhaven and Cornell Scott-Hill health centers for billing purposes but would…

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AccessHealthCT enrollment down in early numbers but 23% of CT uninsured could get bronze-level coverage with no premiums

There are affordable coverage options available for many CT uninsured but they need to apply soon. An analysis by the Kaiser Family Foundation estimates that 22,888, or 23% of uninsured CT residents qualify for $0 premiums with tax credits for 2019 bronze-level plans on our state’s exchange, AccessHealthCT. Many likely also qualify for significant relief…

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More press and a defense on YNHH, clinics plan for New Haven primary care

Both concerns and support were raised at the public hearing about the proposal to close Yale-New Haven’s primary care clinics, move patients and YNHH clinicians to a more distant site, but technically transfer 28,500 patients to the Fairhaven and Cornell Scott Hill health centers. CTHPP testified with concerns about potentially substantial new costs to the…

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ICER seeking new members of comparative effectiveness panel

The Institute for Clinical and Economic Review (ICER) has opened nominations for their New England Comparative Effectiveness Public Advisory Council. The council, one of three in the US, is composed of leading clinicians, patient and public representatives, methodologists, and health economists. The group meets three times each year to consider ICER effectiveness reports on the…

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Health Affairs: CHC, Inc. eConsult program saved on specialty care and improved access

This month’s Health Affairs includes a study on the effectiveness of eConsults for Medicaid members needing specialty care. Specialty referrals are rising, especially for Medicaid members, who often experience challenges getting that care. In response to this barrier for their patients, in 2011 Connecticut’s CHC, Inc. created a system to link primary and specialty care…

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Public hearing on controversial YNHH primary care plan this week

The state Office of Health Strategy (formerly OHCA) will be holding a CON public hearing next Wednesday November 28th at 3pm at the Parish House at Betsy Ross Arts Magnet School, 150 Kimberly Ave., New Haven, CT 06519. Yale-New Haven Hospital, together with New Haven’s two community health centers, Fairhaven and Cornell Scott Hill Health…

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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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CT hospitals report $1.6 billion in community benefits, but most of that is claims of Medicaid underpayment

Yesterday’s Healthcare Cabinet meeting focused on CT nonprofit hospital community benefit reports to the IRS. Last year, CT hospitals claimed $1.6 billion in community benefits, but over half of that (57%) are claims of Medicaid underpayment. Charity care provided to patients unable to pay for their services constituted 21% of total charity care; health professional…

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Advocates get no answers to questions about HUSKY experiment

Last month, a group of independent consumer advocates, the Medicaid Study Group, sent questions to DSS about the impact of PCMH Plus, their new $10.8 million experimental program of shared savings in HUSKY. Advocates have been concerned about PCMH Plus’s potential to deny needed care, raise costs in the program, and erase hard-won progress. Questions…

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