providers

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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New Hartford HealthCare-Tufts insurance company raises concerns

Wednesday, Hartford HealthCare and Tufts Health Plan announced the formation of a new, jointly-owned insurer, CarePartners of Connecticut, to sell Medicare Advantage plans to Connecticut residents for next year, pending CMS approval. Hartford HealthCare includes thousands of providers in home health care, rehab services, long term care, behavioral healthcare, and five hospitals, to date. In…

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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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CT trains lots of doctors but we don’t keep them

A new report on physician workforce finds that CT is a hub for training physicians, both medical school and residency training but we are falling behind in retaining those graduates. The report from the Association of American Medical Colleges finds that physician capacity in CT now is is good ranking 6thhighest among states in the…

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Doctor compensation continues to grow, Northeastern physicians about in the middle, Canadians higher

US physicians average $294 thousand in compensation this year, up from $206K in 2011 according to Medscape’s 2017 Physician Compensation Report. Mirroring the US average, physician payment in the Northeast averaged $296K. Canadian physicians are the only nationality paid more than Americans, on average. Specialists make 46% more than primary care physicians, and their compensation…

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Large majority of CT hospitals and health systems making money

Last year, 23 of CT’s 28 hospitalsand half the 20 health systems made money last year. Collectively, CT’s 28 hospitals’ net margins (profits) totaled $877,878,858 last year. The biggest total winners were Dempsey/UConn at $286 million and Yale-New Haven netting $160 million. Waterbury Hospital lost the most money — $16.5 million or 7.6% of revenue.…

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CT hospital Medicare hospital-acquired condition penalties much higher than US average for third year in a row

Next year fourteen of Connecticut’s 31 hospitals will be penalized by Medicare for poor rates of potentially avoidable complications, according to an analysis by Kaiser Health News. While this is down from eighteen this year, it is almost three times higher than the US average. Seven Connecticut hospitals have been penalized under this program every…

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New England health policymakers meet to consider the future of hospitals

Last weekend NESCSO, the Millbank Fund and the New Hampshire Department of Health and Human Services convened a group of twenty-two state executive and legislative branch health policymakers in Portsmouth, NH to consider the future of hospitals in the region. All six New England states were represented. Hospital roles are evolving quickly with national and…

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Lots of hospital quality news, CT not excelling

  In the last few days several sources have released hospital quality rankings and measures. The bottom line — CT’s hospitals have a lot of work to do. CMS released their long-awaited five star system for hospital ratings, but no CT hospitals received five stars. In fact, only one earned four stars (Backus), 17 received…

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