Medicaid

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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Committee develops care plan best practices recommendations for Medicaid

The Complex Care Committee of CT’s Medicaid Council has made recommendations to DSS for careplans in the Medicaid program. The importance of effective care plans has arisen often throughout the committee’s work diving deep into barriers to care for Medicaid members with complex health needs. Effective care plans ensure that people are driving decisions about…

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CTNJ: Advocates must inform consumers of risks when the state won’t

This week, independent advocates launched PCMHPlusFacts.org, a campaign to give HUSKY members balanced information about an experimental, new payment model expanding across the program. PCMH Plus has risks for consumers along with possible benefits, but HUSKY members aren’t aware of them or that they have the right to opt-out of the new payment model. Read more

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Advocates launch PCMHPlusFacts.org, giving HUSKY members balanced information on the controversial new program

Today, independent consumer advocates launched a website, PCMHPlusFacts.org, to explain the facts about HUSKY’s experimental, new payment plan to run the program. The site was developed in response to the state’s erosion of federally required notices to consumers about their right to opt-out of the program. The state changed the notices at the last minute…

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Good news on Medicaid costs, but big problems with transportation

At Friday’s Medicaid Council meeting, DSS reported that per person costs in CT’s Medicaid program continue to provide relief to the state’s budget, dropping 1.6% from FY 2016 to 2017. Over the last five years, per person costs in the program are down 3.4%. In FY 2016 Medicaid consumed 22.7% of our state budget, compared…

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Medicaid update: New data on high-cost, high-need members

Friday’s Medicaid Council meeting focused on CT’s participation in a national technical assistance program to identify and meet the needs of high-cost, high-need patients. This population has received a great deal of attention from policymakers as the best opportunity to both improve access and quality of care as well as control costs. The concept offers…

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