quality

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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Medicaid update: Quality improving but lots of work to do

Friday’s Medicaid Council meeting focused on quality performance in the program. The good news – ED visits and readmissions continue dropping across the program, although community health centers’ performance remains a problem Well-child visit and lead screening rates are higher than the national average Routine care is increasing and inpatient care is decreasing The bad…

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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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YNHH, clinics respond to state questions on primary care plan

Yesterday Yale-New Haven Hospital responded to questions from the state prompted by community and advocate concerns at a recent public hearing about their controversial plans to shift primary care for 28,500 people.  Technically patients at the new YNHH site would be attributed to the Fairhaven and Cornell Scott-Hill health centers for billing purposes but would…

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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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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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Disability advocates register serious concerns with SIM primary care capitation plan

On Friday, thirty consumers and advocates for people with disabilities sent a letter to Vicki Veltri and Mark Schaefer, CT’s SIM officials, expressing their concerns with SIM’s proposal to capitate primary care for everyone in CT. The signers are concerned about the potential to deny needed care, especially for people with complex medical conditions. Capitation…

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PCMH+ quality reports surprisingly underwhelming

At the MAPOC and Care Management committee meetings we finally received the promised quality evaluation of PCMH +’s first year. PCMH+ is DSS’s experimental new payment program that now covers 165,432 HUSKY members. We only received information on the 13 mainly process measures. These measures were chosen as basis for shared savings payments, not for…

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