Posts by Ellen Andrews
Why CT’s health insurance exchange needs to negotiate
CT’s health insurance exchange is not planning to negotiate with insurers to improve value and control costs for consumers. As of January 2014, consumers will be mandated to secure coverage. Consumers eligible for affordability assistance must purchase in the still developing exchange to get the subsidies. Massachusetts’s exchange (the Connector) negotiates, termed active purchasing, with…
Read MoreConsumer questions to CT insurance exchange
Some initial questions from consumers for the exchange were collected for last Friday’s Consumer Conversations. Among the 43 early questions — Will you standardize benefit limits, exclusions, and substitutions to the Essential Health Benefit package? and How will you monitor that there are enough of the right kinds of doctors, and other providers taking new…
Read MoreCT health reform progress up to 16.7%
CT inched up only 0.3% in progress toward health reform last month. We have completed 16.7% of the tasks needed to be ready for January 1, 2014 when individuals will be legally required to secure health coverage. Highlights remain Medicaid and patient-centered medical homes. Unfortunately, problem areas continue to be the insurance exchange and insurance…
Read MoreConsumers raise concerns with CT insurance exchange
Consumers and small businesses had a rare opportunity to share their concerns with CT’s health insurance exchange Friday. A standing room only crowd met with the exchange’s CEO, Kevin Counihan at a restaurant in Glastonbury. Christie Hager, HHS Regional Director, also attended. Comments focused on the lack of consumer and small business input to the…
Read MoreCT health reform update
The CT Health Policy Project has posted a summary of updates and context on CT’s progress toward health reform.
Read MorePCMH workforce conference offers lessons for CT
Yesterday’s conference on patient-centered medical homes and workforce brought speakers from other RI, MA and Pittsburg together with CT programs to share best practices and lessons learned. Take aways included baking training into all activities and for every member of the team. It is also critical to begin training well before NCQA recognition. And training…
Read MoreAdditions to candidate briefing book
New briefs have been added to our CT Health Policy Project briefing book for Connecticut candidates. New briefs include wellness programs, patient-centered medical homes in CT, comparative effectiveness research, and CT’s health care workforce. The candidate briefing book is part of cthealthbook.org, our site for CT health care system resources. Check often for more updates.
Read MoreCT exchange staff won’t negotiate with insurers on behalf of consumers
Staff of the CT Health Insurance Exchange have “opted to utilize an ‘any qualified plan’ approach” for determining which plans can be offered in the exchange. Proposed qualifications are minimal and generally only what is required by the Affordable Care Act. This decision is counter to the CT exchange’s own research. According to the market…
Read MoreMedicaid Council update
Lots of good news at Friday’s MAPOC meeting. DSS has significantly improved their redetermination process in response to huge backlogs that prompted a legal aid lawsuit. The dual eligible Health Neighborhood proposal’s behavioral health component has been improved by shifting from the controversial, administratively complex and fragmented co-lead proposal to a partnership. This is what…
Read MorePCMH workforce conference Oct. 23rd
Patient centered medical homes offer exciting potential to both improve the quality of care and control costs. But this transformation of care delivery will require new skills and roles in CT’s health care workforce. A conference to explore these issues and CT’s readiness for delivery reform will be held October 23rd from 8am to 3pm…
Read More