Smart Savings

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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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 Study Group recommendations to preserve, build on Medicaid success

Actions to protect Medicaid success long-term Connecticut Medicaid Study Group Since moving away from capitated managed care plans in 2012, Connecticut’s Medicaid program has enjoyed enormous success. Per capita spending is actually down, saving hundreds of millions of tax dollars every year, and making Connecticut the best performing state in the US at controlling costs.…

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New data finds CT leads nation in lowering Medicaid costs

New data from CMS actuaries finds that Medicaid per capita health care spending dropped 5.7% from 2010 to 2014, better than any other state. Of note, in 2012 CT Medicaid shifted away from capitated managed care organizations to run Medicaid. Unfortunately, the rest of the CT’s market is not performing as well as Medicaid –…

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Busting Medicaid spending myths

Despite best efforts by legislators, advocates, and state officials, persistent myths remain about the success of Connecticut’s Medicaid program. It’s understandable – before the shift five years ago away from private insurers to care coordination, costs were out of control, but things are very different now. We’ve looked under the hood, drilled down into details,…

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DSS plans for high-cost, high-need members focuses on behavioral health

At yesterday’s online MAPOC Complex Care Committee meeting, DSS described their innovation plan to address the needs of high-cost, high-need Medicaid members. (meeting video and slides) The project was made possible by a technical assistance grant from the National Governor’s Association. Five agencies and the Medicaid Administrative Service Organizations, CHNCT and Beacon Health, have worked…

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Twenty-six advocates support DSS decision to evaluate Medicaid reform

Wednesday 26 independent consumer advocates wrote the Lieutenant Governor supporting DSS’s decision to evaluate outcomes after the first wave of 200,000+ members into the new Medicaid shared savings program, MQISSP. The advocates support DSS’s prudent plan to assess the impact, good and bad, and make revisions before moving more people into the untested program. Enlightened…

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