healthcare costs

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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CTNJ op-ed — Facts, and data, are stubborn things

Big data is revolutionizing healthcare. The ability to collect reams of detailed information about how care is provided, how much it costs, and then to link that back to effectiveness and outcomes is powerful. New data tools offer the potential to improve individual and collective decision-making that targets just the right resources to the right…

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ICER to report on unjustified drug price increases

Early next year, the nonprofit Institute for Clinical and Economic Review (ICER) will issue its first report on US drug price increases that are not supported by clinical evidence. ICER is a leader in assessing the value of medical treatments, including medications. ICER’s benchmark price ranges for new drugs have been used by Medicaid programs,…

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31 ways to save on healthcare in Connecticut’s budget

Connecticut’s state budget is facing future deficits and health spending is a large share of the budget. The state now spends $3.8 billion between Medicaid and the state employee health plan to cover about a million state residents. Health care spending outside the state budget is also growing. Connecticut has the sixth highest per capita…

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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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CT and surrounding states provide better than average quality care to Medicaid members

CMS has published a new Medicaid/CHIP scorecard to promote accountability and transparency in states’ programs. The site allows comparisons of state enrollment, eligibility, and access to relevant documents (state plan amendments and waivers) and expenditures. Most interesting is comparisons by state across adult and child health quality metrics for 2016. Like our neighboring states, CT…

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