providers

Public Option Forum – high expectations, big challenges

Legislators were warned that ideas that sound simple are rarely that easy at last week’s forum on building a public option to bring down CT’s high health insurance premiums. The forum by the Insurance and Human Services Committees brought in national experts to explore the concept. The idea is to create a non-profit, publicly-accountable insurance…

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Mixed results from great study on Medicaid behavioral health interventions

Yesterday’s MAPOC Complex Care Committee meeting focused on results of an adult high behavioral health need member initiative by Beacon, Medicaid’s behavioral health administrator. The program serves high utilizers of hospital services with behavioral health needs providing intensive care management by teams of clinicians and peer specialists. Medicaid members with high behavioral health needs were…

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Weak answers to state’s second set of questions about YNHH primary care plan for New Haven

Yesterday, Yale-New Haven submitted answers to the state’s second set of questions about their controversial plan to shift care for 28,500 mainly low-income people to a new site, far from neighborhoods. They also plan to shift Medicaid billing for those patients to New Haven’s two community health centers “for increased reimbursement through the FQHC enhanced…

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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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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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Lamont transition health committee first meeting

The Lamont transition policy committees held their first meeting in Willimantic yesterday. After public speeches, the committees began their work with a short public meeting and then moved into private meetings. The Health Committee is Co-Chaired by Jennifer Jackson, CEO of the CT Hospital Association, and Gerald Weiner, of Sussman, Duffy, Segaloff and a member…

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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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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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CT hospital readmission penalties up for next year

Next year, Medicare will penalize CT hospitals by an average of 0.74% in readmission penalties and all CT hospitals will pay a penalty, according to an analysis by Kaiser Health News. Nationally hospital penalties averaged less at 0.57%, and 574 US hospitals will have no penalty. Since 2012 hospitals have been penalized if they have…

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