Cost cap project sets limits on healthcare spending without public input, ignoring pandemic impact

In meetings of the committee setting limits on healthcare spending for all Connecticut residents, it appears the advocates’ sign on letter and detailed concerns about the Office of Health Strategy’s (OHS’s) Cost Cap project were not heard. The plan is being developed by a Technical Advisory Team, with members chosen only by OHS, including some…

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Racial bias is pervasive in medical guidelines for care

A new study has found that racial inequities are unintentionally baked into algorithms, flowcharts of decision points that assess patient risks, used by providers to determine who will benefit from what care. A previous study found that a widely-used algorithm that predicts which patients will benefit from care management was unintentionally biased against black patients.…

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OHS committee chooses unrealistic cap for CT healthcare costs

The Office of Health Strategy’s (OHS) Technical Team choosing the cap for future Connecticut healthcare costs has decided on a 3.1% allowed increase for next year, dropping over time to 2.7% by 2025. To illustrate the impact of the cost cap, consider the significant variability in Connecticut’s per capita all-payer total healthcare cost increases from…

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Surprisingly, Medicaid applications are down sharply with the pandemic

At Friday’s MAPOC meeting, DSS reported that HUSKY applications were down 40% in May from a year before. This was unexpected given massive increases in unemployment and predictions of over 100,000 new Connecticut Medicaid members because of the pandemic. In January, February and March, applications ran 15% to 20% higher than last year. But a…

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CTNJ: COVID Response Offers Opportunities for Connecticut’s Future Healthcare System

The pandemic has been tragic in both lives lost and economic damage, especially to low wage workers. Our already flawed healthcare system has been seriously disrupted. Insurer profits are up, hospitals are losing money, and Connecticut healthcare jobs in April were down 28,400 from the year before. As the pandemic winds down, the recovery offers…

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COVID hitting CT minorities hard, but in different ways

Evidence of disparities in the proportion of COVID-19 cases and deaths is growing in the US and in Connecticut. A state-by-state analysis by NPR of data from the COVID Racial Tracker finds African American Connecticut residents are more likely to contract the virus than other state residents and somewhat more likely to die of COVID.…

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Fact Check: Do lower Medicaid provider payment rates cause higher commercial payment rates?

Download this Fact Check There’s a pervasive myth that lower Medicaid provider payment rates force providers to charge private insurers more to cover costs, but there is no evidence of that. On a simple level it makes some sense, but the truth is that providers, like most businesses, charge what they can, regardless of what…

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Help for CT’s uninsured

With the recent spike in unemployment, many more Connecticut residents will be joining the thousands that were uninsured pre-COVID looking for healthcare coverage. The state has some new options to help. Check AccessHealthCT. You may be surprised to find that you qualify for HUSKY which is comprehensive, free, and includes most Connecticut providers. You may…

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