Posts by Ellen Andrews
CT Medicaid primary care redesign evidence: Part 1 Connecting with community services to improve health
Download the full report with sources Connecticut Medicaid is considering reforms to primary care delivery and payment. The CT Health Policy Project is collecting evidence from other states and programs to help inform that planning. A recurring theme of supporting non-medical, community services has emerged in feedback across planning groups. That feedback reflects the evidence…
Read MoreCT primary care redesign: What the evidence says
Early in 2023, Connecticut’s Department of Social Services (DSS) embarked on an ambitious planning process to make significant changes to primary care delivery and payment in our state’s Medicaid program. DSS’s planning committee meeting materials and recordings are available here. In Connecticut, there have been differing perspectives about the status of primary care, Medicaid and…
Read MoreCT Healthcare Explained — what’s next?
Hopefully, you’ve found our short Sunday Health Policy Minute emails informative and helpful. This is just the beginning of CT Healthcare Explained’s efforts to help make sense of our state’s unreasonably complex system. Hopefully, you’ve accessed the site resources including explainer videos, Basics, and Deeper Dives on the current seventeen topics. Consumers, policymakers, clinicians, students,…
Read MoreHealthcare access for CT residents with developmental disabilities Speaker Series
About 45,000 Connecticut residents have a developmental disability. Compared to Americans without disabilities, adults with intellectual and developmental disabilities are five times more likely to be in poor health, half as likely to get a check-up, have lower rates of blood pressure checks, flu shots, oral health care, and screens for cancer, cholesterol, vision, or…
Read MoreAnalysis: Bristol Hospital VP Says Unfair Practices Are Leading to a Nurse Shortage For Independent Hospitals
Healthcare is expensive in Connecticut. The shortage of nurses is a prime driver of those rising costs. Nursing is hard and dangerous work. While the state is working to lower healthcare costs across Connecticut, another state entity is driving up private nursing costs. Read more
Read MoreAnalysis: CT State Employee Health Plan Tied for Richest in US
Last year, Connecticut’s health plan for current state employees and their dependents covered 98% of the costs of that care, according to a new report by Georgetown’s Center on Health Insurance Reform. We are tied with Vermont for the richest state employee plan in the nation. Connecticut’s plan for state employees and dependents would qualify…
Read MoreAnalysis: Limiting the Metrics We Use to Track Healthcare is Cheating
The quality of healthcare in Connecticut is average at best. There is a strong consensus that provider payments should be contingent on performance and quality measures, called value-based payment, or VBP. But the consensus ends there. Read more
Read MorePlans for CT opioid settlement far better than our tobacco history
Connecticut is using our $300 million settlement from opioid lawsuits far better than we did with the 1998 tobacco settlement and similarly to our surrounding states, according to a cross-state analysis of opioid settlement details from Vital Strategies. The report gives details on the uses of the funds, who decides, public reporting requirements, and a…
Read MoreSummer reading — Rough Sleepers
I thought I understood healthcare for the homeless, but I had a lot to learn. Rough Sleepers: Dr. Jim O’Connell’s Urgent Mission to Bring Healing to Homeless People describes Boston’s Healthcare for the Homeless Program by following Dr. Jim O’Connell’s career of caring for people who live, and sleep, on the streets. He ended up…
Read MoreAnalysis: Connecticut is doing something about healthcare costs, finally
I’ve long been a critic of our state’s inaction on controlling healthcare costs, but I may have to eat my words. On Wednesday, Connecticut policymakers took a big step toward controlling the two biggest drivers of rising healthcare costs – hospital and prescription drug prices. Read more
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