healthcare costs

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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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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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…

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Smart CT Medicaid smoking cessation coverage

A new CDC analysis finds that CT’s Medicaid program is among the most progressive in covering smoking cessation treatments. Medicaid members are twice as likely to smoke as other Americans. Smoking-related treatment costs US Medicaid programs about $39 billion annually, so effective tools to quit are a smart investment for states. Despite improvements, most states’…

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CT exchange premiums up this year, but similar to other states and still too high

There have been national reports of extreme increases for this year in health insurance exchange premiums, largely due to Trump administration policies. Not surprisingly, a new analysis by the Urban Institute for the Robert Wood Johnson Foundation finds that states with more competition among insurers and more options for consumers have the lowest premiums. Connecticut’s…

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