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Connecticut Health Policy Project
  Improving Connecticut's Health Through Information

CT Health Reform Dashboard

February 2017

2016 Health Thoughtleader survey - CT gets C+ for reform

Current Status

down Hospital consolidation raises concerns of weak regulatory oversight risking affordability, services
down Broken Medicaid promises on downside risk and consumer notices - rebuilding trust from broken Medicaid promises on downside risk, weak evaluation of risky new payment model and useless consumer notices
down Controversial Cabinet reform proposal misses what is working in Connecticut and dangerous, failed payment model
Up Medicaid savings, quality improvement strengthen
Up SIM ethics concerns continue
 

Action Items

  • Protect consumers and taxpayers from payment models with incentives to deny appropriate care
  • Tell Medicaid consumers the truth about new payment models
  • Avoid past mistakes and protect success with robust evaluation in Medicaid reform finished in time to meaningful
  • Ensure reforms make sense for Connecticut - follow best evidence, not failed theories
  • Strengthen regulatory oversight of hospital mergers and acquisitions – choose independent, credible monitors and consultants
  • Strong conflict of interest provisions in all reforms

 

Medicaid ?

Payment & Delivery Reform Down

 

Quality Down

  • Quality information confusing, not easy to access
  • Comparative effectiveness research not well used in policymaking or consumer information
  • Serious, ongoing quality problems across CT hospitals
  • SIM Rush to "align" quality metrics, especially for payment, across diverse populations leaves many out, not protective

Health Insurance Down

  • Lower skyrocketing health insurer rate hikes
  • Must regulate ACOs as they take on financial risk
  • Insurer-dominated board, members with conflicted interests and investments
  • Privacy and security concerns throughout insurance sector
  • Exchange must work to lower costs and make coverage affordable

Health Information Technology ?

  • Must protect privacy and security of sensitive patient medical information
  • Troubling HIT Council leadership shift; must avoid past errors, conflicts of interest
  • All-payer claims database development slow, rejected consumer privacy protections

Workforce Down

  • Private nursing capacity initiatives filling state policy vacuum
  • Need more clinical training slots
  • Build primary care capacity
  • New and renewed skill training for current professionals

CT Health Reform Dashboard Archive