Book Club: Revenge of the Tipping Point

Malcolm Gladwell revisits his 2006 classic in the new Revenge of the Tipping Point: Overstories, Superspreaders, and the Rise of Social Engineering. He expands and updates the original premise – that ideas and trends grow slowly, like a pandemic, until they hit a point where they go viral and radically change the context around the…

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Sign on letter critical of biased consultants for HUSKY MCO study

On Friday, thirty-five organizations, advocates, and HUSKY members sent a letter to Governor Lamont raising concerns about the choice of Manatt, Phelps & Phillips as consultants to conduct the Medicaid survey and make recommendations. Concerns center on Manatt’s record of support for toward returning Managed Care Organizations (MCOs) in Medicaid programs. That’s a record number…

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Former Medicaid official offers options to improve the program and a warning

Recently retired from DSS, Steven Colangelo answered the state’s invitation for recommendations to improve HUSKY. He worked at DSS more than 31 years, 10 in Medicaid, focused on the quality of care. His tenure crossed numerous state administrations and seismic shifts in Medicaid policy at the federal level. Steven opposes current state plans to return…

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Advocates’ comments to improve Medicaid

In response to DSS’s invitation for comments, last week four consumer advocate members of CT’s Medical Assistance Program Oversight Council (MAPOC) offered constructive recommendations to improve the program. The authors acknowledge the success of Connecticut’s Medicaid program as a national leader in cost control, access and quality of care. The authors strongly recommend against returning…

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Opinion: MCOs still a bad idea, New Haven Register

On behalf of Rep. Peter Villano, his wife urges Governor Lamont not to reverse 12 years of progress in HUSKY in a Letter to the Editor of the New Haven Register last week. Peter was the legislative champion who fought for over a decade to move private insurers/MCOs out of HUSKY, and since then the…

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HUSKY maternal health bundle questions 2.0

Based on DSS’s MAPOC presentation Friday on plans for maternity bundled payments, the CT Health Policy Project submitted some questions about the plan. The commendable goals of the plan are to improve health outcomes, equity, quality, and access to care while controlling costs through care management and greater efficiency. DSS plans to pay obstetrics practices…

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New report quantifies CT nurse training – Growing, but we still need more

In 2022, Connecticut schools of nursing were at or near enrollment capacity, according to the latest analysis by the CT Center for Nursing Workforce and the CT Data Collaborative. This is a good thing, because we need more nurses. At 79,822 RNs in Connecticut, nurses are by far the largest class of healthcare workers in…

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Analysis: The uninsured are still with us

September used to be a key month for policy wonks. We all eagerly awaited new Census numbers of the uninsured. But since passage of the Affordable Care Act (ACA), there is less attention to the uninsured. There is a sense that we are past the problem of people without coverage. But the latest Census numbers…

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How CT can support the professionals who support patients

How CT can support the professionals who support patients A new brief by the CT Health Foundation highlights the value of trained health support professions and recommendations for sustainable funding. The brief outlines evidence that including support professionals in care teams improve health outcomes and patient experience of care, especially for underserved populations. Engaging them…

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More updates to CT Healthcare Explained

We are continuing to update chapters in CT Healthcare Explained. This month we finished a complete overhaul of the Hospitals chapter. Last month we finished Consolidation and big health systems. Next is Quality. Connecticut’s healthcare system is deeply confusing. Too often people motivated to advocate for change find themselves frustrated and give up. To help…

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