Archive for September 2015
Independent advocates call for more study on Medicaid payment shift
A letter signed by twenty one independent consumer advocates calls on the state to halt the SIM-driven Medicaid’s rush into a return to shared savings, a risky payment model. Dozens of issues remain to be addressed to protect the 770,000 people who rely on the program before the deadline of October 5th. The rush is…
Read MoreC-HIT forum on the benefits of preventive care
Join C-HIT for a community health forum, Get Health Wise: The Benefits of Preventive Care, Oct. 7th from 5:30 to 7:30pm at the Artists Collective in Hartford. Hear from clinicians about how to manage diabetes, heart disease, cancer, mental health and primary care’s central role.
Read MoreShared savings math doesn’t add up, CCIP plans could undermine Medicaid
A new brief outlines the risk to taxpayers from Medicaid shared savings increasing health costs, as SIM is pressing. About half of Medicare ACOs spent more money on health care for members under shared savings last year. If Connecticut’s ACOs perform in Medicaid shared savings as they did for Medicare, CT taxpayers could lose as much…
Read MoreCTNJ Op-Ed: Let’s Halt the Rush to Risky Medicaid Experiment
Today’s CT News Junkie includes an opinion piece urging caution and more time for thoughtful deliberation in moving 200,000 HUSKY members into a very new, untested payment model that is costing more for Medicare. CT’s Medicaid program is a success story – improving quality, increasing providers, and lowering costs – but that success is fragile.…
Read MoreAdvocates’ Medicaid Study Group offers recommendations for Medicaid shared savings reform
Over a dozen Connecticut independent consumer advocates representing diverse populations and issue areas spent the last several months diving deep into Medicaid shared savings and today released recommendations for our state’s program. The Medicaid Study Group formed early in 2015 in response to a request from the Co-Chairs of the Medicaid Council’s Care Management Committee to…
Read More$103 million in new budget cuts Medicaid, mental health services
On Friday, the administration announced $103 million new budget cuts in response to lagging revenues. The biggest cut is $63.5 million in Medicaid, reportedly focused on hospitals. Community providers raised concerns about the impact of the cuts, including $7.4 million in behavioral health funding and $5 million from services for people with developmental disabilities,…
Read MoreTen SIM committee members sign alternative stronger ethics policy
Ten brave SIM committee members signed a stronger ethics policy in place of SIM’s weaker policy. Advocates were given until this Wednesday to sign SIM’s policy or they would “not be able to participate as members in future meetings of the advisory groups.” The alternative policy agrees to also abide by the State Code of…
Read MoreACOs not saving for Medicare, model could cost CT Medicaid almost $100m/year
CMS’s vast shared savings experiment for Medicare has disappointed again in its second year. The plan was to encourage providers to assemble into health care systems, called Accountable Care Organizations (ACOs), to coordinate care and keep people well. The incentive was that the systems share half (or more) of the resulting savings. The only problem…
Read MoreCT median insurance premiums often higher on exchange than off
According to an analysis by the US Government Accountability Office of health insurance premiums, CT consumers paid more on our exchange than off, for many plan choices both last year and this year. This is unusual among states; nationally the best deals are usually found on health insurance exchanges. Median monthly silver-level premiums for a…
Read MoreAdvocates support SIM underservice, cherry picking protections
Connecticut’s SIM plan acknowledges that risks of inappropriate under-treatment and cherry-picking are higher in new shared savings payment models. Advocates were successful in getting a provision included in the SIM final plan that prohibits payment of shared savings to provider networks that systematically deny needed care or cherry pick patients to generate those savings. The…
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