Stats & Data

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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CT life expectancy rising, but risks vary

A comprehensive, new analysis of public health outcomes, risks, and causes by state published in JAMA finds that life expectancy for CT residents rose from 77 years in 1990 to 80.8 year in 2016. Healthy life expectancy (maybe more important) also rose from 66.5 years to 69 years. States varied widely in the burden of…

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Chartbook: Prescription drugs driving CT health costs across payers

According to a new Chartbook, prescription drugs are the largest driver of health costs in our state. We spend more per person on prescriptions than all states but Delaware and that number is rising faster here than most states. Charts regarding Medicaid spending have been corrected to reflect that pharmacy costs in the program have…

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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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Medicaid update: New data on high-cost, high-need members

Friday’s Medicaid Council meeting focused on CT’s participation in a national technical assistance program to identify and meet the needs of high-cost, high-need patients. This population has received a great deal of attention from policymakers as the best opportunity to both improve access and quality of care as well as control costs. The concept offers…

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Medicaid update: New data on high-cost, high-need members

Friday’s Medicaid Council meeting focused on CT’s participation in a national technical assistance program to identify and meet the needs of high-cost, high-need patients. This population has received a great deal of attention from policymakers as the best opportunity to both improve access and quality of care as well as control costs. The concept offers…

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MAPOC: Harnessing the power of data analytics to improve health

Last week, MAPOC’s Complex Care Committee heard an exciting presentation by Alan Fontes of UConn Analytics and Information Management Solutions.  Alan came to UConn from DeLoitte where he led their project providing healthcare advanced analytics and information management for states across the US. He described the power of analytics to help guide smart planning for…

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Chartbook: CT drugs costs high and growing fast

14.4% of our state’s economy was devoted to health care services in 2014, slightly below the US average, according to a new Chartbook on CT health spending. Based on newly released data from CMS actuaries, the analysis finds that CT health costs per person are not surprisingly high but we out-perform most other states in…

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Advocates document concerns with PCMH+ implementation

The Medicaid Study Group, a coalition of independent consumer advocates, have published an update on CT Medicaid’s new payment reform experiment, PCMH+, fact sheet and report. The program started January 1st with 137,037 members. Under the new shared saving payment model, large health systems (called ACOs in other states and programs), get half the health care savings…

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