Smart Savings

ICER to report on unjustified drug price increases

Early next year, the nonprofit Institute for Clinical and Economic Review (ICER) will issue its first report on US drug price increases that are not supported by clinical evidence. ICER is a leader in assessing the value of medical treatments, including medications. ICER’s benchmark price ranges for new drugs have been used by Medicaid programs,…

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31 ways to save on healthcare in Connecticut’s budget

Connecticut’s state budget is facing future deficits and health spending is a large share of the budget. The state now spends $3.8 billion between Medicaid and the state employee health plan to cover about a million state residents. Health care spending outside the state budget is also growing. Connecticut has the sixth highest per capita…

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Medicaid update: Quality was rising through 2016, raising concerns about PCMH+

Friday’s MAPOC meeting focused on Medicaid quality and access information from CHNCT, DSS’s administrative contractor for the program. Across the 12 (of over 100) quality measures chosen, there was modest but sustained improvement from 2014 through 2016. However community health center performance consistently lags behind other PMCH practices across the quality measures. Of particular concern…

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Rest of US catching up with CT – Medicaid managed care doesn’t work

Two Health Affairs blog posts highlight the disappointments states are having with their capitated Medicaid managed care programs. Managed care across the US is growing fast, making big profits for private insurance companies, promising improved health outcomes and lowering costs. But CT found exactly the opposite effect when we shifted away from capitated managed care…

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ACA Medicaid expansion benefits to CT include fewer uninsured, lower ED use, access to behavioral healthcare

A new analysis by the CT Health Foundation outlines the “unqualified success” of CT’s HUSKY expansion. In 2010 CT was the first state to exercise the Affordable Care Act option to expand Medicaid to low income, childless adults, labelling the new population HUSKY Part D. The expansion was largely responsible for cutting CT’s uninsured rate…

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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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