Fact Check: No correlation between CT hospital Medicaid share and profits

Download the data Connecticut hospitals have asserted that state Medicaid payment rates undermine hospital margins and force higher private plan rates. But the evidence doesn’t support the first assertion and is mixed on the second. As in most states, Connecticut Medicaid hospital payment rates are lower than rates that commercial plans pay. It’s important to…

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New tool finds CT employer health insurance costs 8th highest in US

A new Health Cost Landscape data tool finds that Connecticut residents spend 15% more than the national average on employer-sponsored health insurance coverage. Only seven states cost more. But because of higher average incomes, the burden of healthcare costs is lower here than for most Americans. High prices are the main force driving up Connecticut…

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Analysis finds CT hospitals more efficient than most in US

A new study from the Lown Institute finds all but two Connecticut hospitals are more efficient than the median US hospital within 30 or 90 days after admission. However, no Connecticut hospitals are in the top 10 most efficient in the nation and there is significant variation between Connecticut hospitals. Greenwich and Bridgeport Hospitals are…

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CT Medicaid admin costs are 5th lowest in the nation, but CT fully insured plans are the 5th highest

Connecticut Medicaid spent $467 less per person in 2023 on administration and corporate profit than all most states, according to a new study published in Health Affairs. However, state residents in fully-insured health plans spent $412 more for administration and profit than most Americans, according to the authors from Brown University. In fully insured plans,…

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Reference pricing lowers healthcare prices, could save CT millions

Download the backgrounder Hospital prices are driving up healthcare costs making coverage unaffordable, in Connecticut and across the US. It’s hard to reduce hospital prices, especially in consolidated markets like Connecticut’s, where huge health systems have monopoly power to demand steep prices. But Oregon and Montana have been saving millions annually on just their state…

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Governor proposes breaking up OHS

In his budget proposal today, Governor Lamont wisely proposed delegating the many functions under the Office of Health Strategy (OHS) to other state agencies. His goal is “to ensure a comprehensive and cohesive vision for healthcare.” Setting a statewide strategy to improve value in Connecticut’s complex and costly healthcare landscape takes focus and deep data…

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Advocacy Toolbox resources for legislative session

Connecticut’s 2026 legislative session starts this Wednesday, February 4th and healthcare will be a hot topic this year. Just a few of the issues that will be debated include affordable private insurance, federal Medicaid cuts, private equity protections, and supporting public health through the federal cuts. For anyone advocating this session, we have tons of…

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Reference pricing lowers healthcare prices, could save CT millions

Hospital prices are driving up healthcare costs making coverage unaffordable, in Connecticut and across the US. It’s hard to reduce hospital prices, especially in consolidated markets like Connecticut’s, where huge health systems have monopoly power to demand steep prices. But since 2019, Oregon has been saving $50 million annually on just their state employee plan,…

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Analysis: The real goal of Medicaid work requirements

An old saying goes, there’s no right way to do the wrong thing. I hope that’s not true. Connecticut has to implement a requirement in HR-1, the new federal budget act, that 340,000 adults on Medicaid must work to keep their healthcare coverage. This wasn’t our idea; our policymakers didn’t vote for it. But we…

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HUSKY and work requirements – How to make it work

Download the full report The largest cut in the new federal budget bill is Medicaid work requirements. It’s expected that 137,000 Connecticut residents will lose coverage and our state will lose $118 billion over the next ten years. If history repeats, most will lose coverage in error – they will be working or exempt Only…

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