Posts by Ellen Andrews
CT Medicaid ACOs announced
Provider networks authorized to negotiate for participation in PCMH+ (formerly MQISSP), CT Medicaid’s new shared savings program, have been announced. The winners are: Northeast Medical Group, St. Vincent’s Medical Group, Community Health Center, Inc., Cornell Scott-Hill Health Corporation, Fair Haven Community Health Clinic, Inc., Southwest Community Health Center, Generations Family Health Center, Inc., OPTIMUS Health…
Read MoreDownside risk explainer and response to Strawman payment model proposal published
In response to questions, we’ve published two new documents about the most controversial part of the Health Care Cabinet’s Strawman proposal for health reform in Connecticut. To help in understanding how downside risk might work, and whether it works, in the context of other options, we’ve developed a fairly short downside_risk_explainer. To address points offered…
Read MoreCT Health Reform Dashboard – Troubling Cabinet reform proposal would move CT backward
October’s CT Health Reform Dashboardupdate reflects the controversy surrounding the Health Care Cabinet’s controversial proposal for state health reform. The current proposal would move CT back into failed payment models and would break the administration’s promise to Medicaid members. Other concerns include a vague hospital consolidation deal that leaves a lot of accountability to administrative…
Read MoreConnecticut ranks 4th in nation for health of women and children
The newest report by America’s Health Rankings finds that women and children in Connecticut are healthier than women and children in all but three other states. While we rank best in outcomes for children, we are 48th in clinical care for infants. Our strengths include cervical cancer screening, the lowest rate of smoking in pregnancy…
Read MoreKaiser Medicaid and state marketplace implementation brief highlights CT
Three years into ACA expansions, the Kaiser Foundation has highlighted how four states, including CT, are streamlining eligibility and enrollment. Researchers used focus groups and case studies to find that eligibility and enrollment systems worked well through the expansion and while Medicaid enrollment grew quickly in the beginning, it has now stabilized. While marketplace enrollment…
Read MoreRecognize the people that keep CT healthy — Nominate a Health Care Hero
The Hartford Business Journal is again seeking nominations for outstanding health care leaders who epitomize a “hero” when it comes to helping others in central CT. They can be companies, teams, doctors, nurses, specialists or managers. The deadline for nominations is October 6th. In addition to an awards event on Dec. 1, finalists and winners…
Read MoreCTNJ highlights concerns with Cabinet reform proposal
“It’s not everyday that healthcare advocates and the Department of Social Services agree, but that’s what’s happening in a debate on how to save money and make sure residents, especially those on Medicaid, get the care they need”, according to today’s CT News Junkie. The article gives a very understandable description of the Health Care…
Read MoreMedicaid update – HUSKY parents’ fate, access monitoring plan, eligibility systems update and first look at Medicaid impact of controversial Health Care Cabinet proposal
This month’s Medicaid Council meeting began with ongoing concerns about what happened to HUSKY parents cut off the program at the end of July. There were lots of numbers but of the original 18,903 slated for the cut in last year’s budget at least 7,713 were lost to HUSKY or AccessHealthCT coverage. Almost 4,000 more…
Read MoreCensus finds 211,000 CT residents without coverage last year, down 35,000 from 2014
New Census health coverage numbers finds that CT’s uninsured rate went down to 6% last year, a significant drop from 9.4% two years ago before ACA implementation. That rate puts CT ahead of the entire US at 9.4% and ahead of our neighbor NY at 7.1%; we are well above MA’s uninsured rate at 2.8%…
Read MoreComments and alternatives to the Health Care Cabinet’s draft proposal for reform
As directed in a law passed last year, the Health Care Cabinet is considering a draft Strawman proposal drafted by consultants for comprehensive, statewide health care reform in Connecticut. Many concerns have been raised about the very ambitious proposal which includes merging all state agencies that touch health care, ACOs with downside risk, an 1115…
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