Fascinating HBJ article on role, challenges for brokers in AccessHealthCT

The Hartford Business Journal reports on the experiences of CT’s insurance brokers in  the success of AccessHealthCT. Brokers have assisted about 35% of the 90,000 current members enroll in coverage, but they are not universally supportive of the exchange. Challenges include technology problems and system failures, no reimbursement for helping people eligible for Medicaid, and…

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CT out of pocket spending averaged $768 per person in 2013

On average, CT residents paid 16.4% of their total health care bill out of pocket in 2013; the US average was 15.2%, according to a new analysis by the Health Care Cost Institute. At $768 per person, CT’s average out of pocket bill was 8.6% higher than the average American and 7.4% higher than the…

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SIM update – PCMH standards undermined, weak ethics adopted, but underservice group is moving forward

Again, SIM takes one step forward but two steps back. At yesterday’s steering committee meeting, SIM adopted an ineffective, weak conflict of interest policy, without a vote or any discussion. The policy would allow members to bid on significant SIM contracts that they had a substantial role in defining, potentially advantaging their company, provider or…

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New to the Book Club — Medical Illuminations: Using Evidence, Visualization & Statistical Thinking to Improve Healthcare

Public health students know the famous story of John Snow’s 1854 map of London cholera cases that highlighted clustering around the Broad Street water pump. He removed the pump handle and the number of deaths dropped. (It turns out that deaths were dropping anyway and the pump handle may have had nothing to do with…

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Thoughtleaders give CT a B-/C+ on health reform

In the latest survey, CT health care thought leaders give our state a B-/C+ grade on health reform, little changed from last year’s survey. CT’s grade for effort rose to a B- in this survey. Higher marks go to patient-centered medical homes and the health insurance exchange. Payment reform/quality improvement scored lowest. CT’s performance on…

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CT health reform progress still stalled at 29.4%

CT’s progress toward health reform remains stalled. The meter moved down again this month slightly to 29.4%. As usual, Medicaid accounted for most of the progress with ever-increasing data reporting, health neighborhood reform progress, and transparent, collaborative planning. Again SIM challenges lowered the progress meter by excluding free clinics, and transparency (FOI) and accountability (ethics)…

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