Health Care Cabinet – RI, MA reforms reviewed, hospitals’ response to price presentation

Today’s Health Care Cabinet meeting was as fascinating as last month’s. We heard again from the consultants working with the Cabinet to develop a plan to reform CT’s health care system. This time they focused on reforms in Rhode Island and Massachusetts. Rhode Island is also facing hospital consolidation, but with more geographic overlap than…

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Survey of CT ACOs – early yet, good intentions but uncertain future

Together with the Hartford Business Journal, the CT Health Policy Project conducted the first survey of CT ACOs finding some unexpected findings. ACOs are networks of providers across the continuum that coordinate high-quality care for people and receive a share of the savings they generate. ACOs are a foundation for efforts to reform health care…

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FDA flu vaccine meeting – lots of smart people doing important work, tons of wonk fun

Today’s FDA meeting to vote on what subtypes next year’s flu vaccine will include was fascinating. As more than one participant said, our heads hurt by 10am. There is a lot of work by people all over the globe that goes into figuring out what nature has planned nine months from now. (An important example…

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CT Health Reform update – hospital consolidation delay allows breathing room but weak SIM proposal for Medicaid is troubling

The Governor’s Executive Order to delay approvals of large hospital consolidations leads the CT Health Reform Dashboardupdates this month. $185 million savings in the state’s share of Medicaid spending last year also leads the news. Medicaid redesign planning is still on track, working collaboratively with all voices at the table. However that good news was…

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Thoughtleaders give CT a C+ on health reform this year

In the latest survey, CT health care thought leaders give our state a C+ grade on health reform, down from last year’s survey. CT’s grade for effort also dropped to a B-/C+ in this survey. Higher marks go to the health insurance exchange, Medicaid, and patient-centered medical homes, as for last year. Payment reform/quality improvement…

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Governor orders delay, time to study CON approvals for massive hospital mergers

Yesterday Governor Malloy issued an Executive Order halting state Certificate of Need approvals for hospital mergers that would cover more than 20% of total CT hospital spending until Jan. 15, 2017. The delay will allow for a “fair and through” review of the CON process by a new taskforce. Concerns about the current CON process…

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SIM’s CCIP proposal for Medicaid reform – poor process drives weak plan

Public comments from the CT Health Policy Project raise deep concerns about SIM’s proposal for Medicaid reform requirements could undermine hard-won successes in the program and may not achieve the goals. The Community and Clinical Integration Plan (CCIP) is SIM’s plan for community-based resources to support Medicaid advanced networks that will be sharing in savings…

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Medicaid update – plans to “transition” 17,688 HUSKY parents off the program, serious SIM/CCIP problems jeopardize Medicaid redesign

Friday’s Medicaid Council meeting focused on implementation of last year’sbudget provision that will end coverage for 17,688 HUSKY parents on July 31stof this year. DSS reported on efforts to assure that people still eligible for Medicaid in other categories do not lose coverage. Of the 1,215 parents who lost coverage last year due to the…

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CT Medicare members have saved over $285 million on prescription drugs under the ACA; almost half a million received free preventive care last year

Thanks to the Affordable Care Act (ACA) thousands of elderly and disabled Medicare beneficiaries in CT have saved millions of dollars on prescription drugs and free preventive care, according to new numbers from the Centers for Medicare and Medicaid Services.  The ACA includes discounts for Medicare Part D beneficiaries on their prescription drugs that increase…

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