ACOs
HUSKY evaluation call is broad; Includes MCOs but is not biased
Updated August 15, 2024 with Questions and Answers to DSS Last month, DSS released their promised request for quotes (RFQ) from current contractors to evaluate Connecticut’s Medicaid program. (Questions from potential RFQ applicants and DSS’s answers are here.) The RFQ includes important broad priorities that are shared by advocates and other stakeholders, including an evidence basis…
Read MoreBook Club: Random Acts of Medicine
Deliberately randomized experiments in medicine and health policy are usually not possible, or even moral. But with increasingly available data and random changes in circumstances, natural experiments can teach us a great deal about what works and what doesn’t. Random events have a huge impact on our health, more than we’d like to acknowledge. Random…
Read MoreDSS gets input for Medicaid landscape survey
At last week’s MAPOC meeting, DSS announced they will be hiring a consultant to survey the Medicaid landscape assessing options for improvement, including MCOs. Advocates, legislators, and other stakeholders have publicly registered their opposition to returning the failed MCO model to our successful HUSKY program. At the meeting DSS requested input on the criteria consultants…
Read MoreCT Healthcare Explained is updating
We are taking on the massive project of updating CT Healthcare Explained. We just finished the Workforce chapter, including updated numbers and wages for the broad range of people who provide healthcare. We’ve included trends, shortages, disparities, and changes happening and recommendations for improvement. We updated Healthcare Costs last month. Hospitals are next. Connecticut’s healthcare…
Read MoreAnalysis: Newest Hartford Healthcare lawsuit adds a critical twist
Yet another lawsuit against Hartford Healthcare (HHC) may seem obscure and limited to healthcare, but it goes much further. There is overwhelming evidence that prices for care at huge health systems like HHC are driving up healthcare prices for private health plans in Connecticut and it’s getting worse. The third anti-trust lawsuit against HHC outlines…
Read MoreGood and bad news in CT hospital fair share spending
US non-profit hospitals receive federal, state, and local tax breaks totaling tens of billions of dollars. Taxpayers must pay more to cover those losses. In exchange, hospitals are expected to devote resources to improving their community’s health. Nonprofit hospitals must report their community benefit spending to the IRS. The Lown Institute has published their 2024…
Read MoreStudy finds CT private healthcare payment rates more than double Medicare’s, close to US average
A new study by RAND analyzing provider payments rates for commercial plans finds Connecticut’s 2022 rates averaged two and half times (258%) what Medicare would’ve paid for the same services at the same hospital (Relative Price). There was little variation by overall type of services. However, individual Connecticut hospitals varied considerably in Relative Price. There…
Read MoreFrom 2011 to 2022, CT hospital budgets devoted 12% to administration labor and 30% to direct patient care labor
Download the brief Download the data Parsing the latest data from NASHP’s Hospital Cost Tool finds that in 2022, Connecticut’s acute care hospitals averaged almost 32% of their budgets on direct patient care labor and just under 12% on labor costs for administration, which includes management, administration, and payments to their larger health system (called…
Read MoreAnalysis: What to do about private equity in healthcare?
The news is full of Prospect Medical Holdings, a private-equity fund, laying waste to three Connecticut hospitals. State policymakers are looking to create guardrails so that this doesn’t happen again. But we were warned two years ago and policymakers didn’t act. Read more
Read MoreBristol Health Cares explores advocacy in CT healthcare
A recent episode of Bristol Health Cares features a conversation with Kurt Barwis, President and CEO of Bristol Health and Ellen Andrews, of the CT Health Policy Project. Bristol Health Cares is a wide-ranging program with guests ranging from providers, community leaders, to innovators about navigating healthcare and answering questions. The conversation touched on the…
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