Archive for June 2019
CT homelessness continues to drop but health challenges are serious
This year’s point-in-time count of homelessness in Connecticut finds the numbers are going down – that’s the very good news. This year the CT Coalition to End Homelessness found that on January 22nd, when volunteers fanned out across the state to count the homeless, the number was 3,033. That’s the lowest number since the survey…
Read MoreNew tool makes Medicaid business case for CT to address obesity
Twenty nine percent of Connecticut children ages 5 to 17 are overweight or obese, according to the Department of Public Health. That number jumps to 47.8% for children living in households with annual incomes between $25,000 to 50,000. Many, maybe most, of these children qualify for Medicaid. Only 13.1% of Connecticut high school students eat…
Read MorePCMHs in CT – not the “shiny new toy” anymore but moving forward improving care, controlling costs
Ten years ago, patient-centered medical homes (PCMHs) were exotic in Connecticut. PCMHs are one of the best documented innovations to improve health. PCMHs are primary care practices that help keep people well by assessing needs, coordinating care, and giving people the skills and resources to maintain their own health. As a nurse managers told me,…
Read MoreMedicaid will apply to cover supportive housing services
DSS announced at today’s Medicaid Council meeting that they will be expanding their collaboration with state housing resources. Medicaid’s supportive housing option opportunity lets states bridge the firewall between healthcare and social service spending. CT Medicaid intends to cover transition and tenancy-sustaining services through a 1915(i) state plan amendment. Initially the program will cover up…
Read MoreNew PCMH + plans overlook past problems
Wednesday DSS and Mercer unveiled their thinking about plans for Wave 3 of PCMH Plus, Medicaid’s controversial shared savings program. Results from PCMH Plus’s first year, Wave 1, were disappointing with increased state costs and little evidence of improvement in quality. Based on the problems identified in Wave 1, advocates made recommendations to fix those…
Read MoreCT ranks 5th among states in health system performance this year, up from 9th last year
Connecticut’s health system performs better than all but four other states, according to the latest Commonwealth Fund State Scorecard. We are first in Healthy lives, up from sixth last year. Surprisingly, we also do very well on Access & Affordability (sixth) – it must be the access part. But we have a lot of work…
Read More2019 Connecticut legislative session – what happened and what didn’t happen
Download the full report Connecticut’s General Assembly debated an unusually large number of health-related proposals this year. Some were new and some have been debated for years. Some passed, some were rejected, and some are on hold for next year. As of this writing, only the minimum wage increase bill has been signed into law…
Read MoreState budget deal restores coverage for 4,000 HUSKY parents, a move toward quality-based payments, and insurance protections
Policymakers have reached a $43 billion state budget deal to cover the next two fiscal years, on-time before the end of the session. For health policy folks, there is a lot to like in the deal but a few notes of caution. The best part is a partial restoration of HUSKY parents’ eligibility cuts from…
Read MorePublic option gone but good pieces remain
Negotiations over a public health insurance option in CT have broken down but other good parts of the deal remain. Reportedly, there is a budget agreement to restore HUSKY eligibility for some of the 11,000 working parents cut in 2016. DSS reports found that the large majority of the low-income parents cut from HUSKY were…
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