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Connecticut Health Policy Project
  Improving Connecticut's Health Through Information

CT Health Reform Dashboard

March 2018

January 2018 Thoughtleader survey: CT drops to a C on health reform, good advice for next Governor

Current Status

down arrow Advocates must warn consumers of risks when the state won’t
Down Expanding troubling Medicaid payment reform ignores data and serious red flags
Down arrow Federal risk and uncertainty about Medicaid and the ACA escalate
down Concerning budget agreement cuts health care for thousands more working parents
Up Health Care Cabinet policy options to control prescription drug costs sent to legislature for action
down Mistrust growing in CT health policymaking, threatens all progress
down Broken Medicaid promises on downside risk and consumer notices, weak evaluation of risky new payment model, useless consumer notices, and secret implementation meetings undermine trust and transparency
Up Medicaid savings, quality improvement at risk
Up SIM ethics and lack of progress holding Connecticut back

Action Items

  • Tell Medicaid consumers the truth about new payment models
  • Delay PCMH+ expansion until there is data on the first wave, avoid past mistakes
  • Begin building trust in CT's health care system
  • Take action to control drug costs
  • Protect consumers and taxpayers from payment models with incentives to deny appropriate care
  • Ensure reforms make sense for Connecticut - follow best evidence, not failed theories
  • Strong conflict of interest provisions in all programs and policies


Medicaid down

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 and community health centers
  • SIM rush to "align" quality metrics, especially for payment, across diverse populations leaves many out, not protective or meaningful

Health Insurance Down

  • Indefensible compensation packages for exchange executives
  • Make affordability a standard for rate setting
  • Build a public option for coverage
  • Must regulate ACOs as they take on financial risk
  • Insurer-dominated insurance exchange board, members with conflicted interests and investments
  • Privacy and security concerns throughout insurance sector
  • Reverse consolidations leading to insurer/health system contract impasses, among other problems

Health Information Technology ?

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