Governor’s consultant report recommendations for Medicaid savings are baseless

It’s not in the headlines but the biggest source of potential savings, $200 million, proposed by the Governor’s controversial report from Boston Consulting Group (BCG) to save money in state government to  is to go back to failed Medicaid financial risk models. There are two problems with the proposal. First, the financial risk models don’t…

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HUSKY COVID update – new enrollments lag, lots of money to providers, and telehealth is very popular

At Friday’s Medicaid Council meeting, we learned that while new HUSKY applications recovered last fall from its drop last spring, they fell again sharply this January and February. The reasons for the volatility during a serious recession are unclear. DSS focused on how HUSKY has responded to the COVID pandemic. Now covering over a million…

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CTNJ Op-Ed – Drug Innovation Argument Cuts Both Ways

In his recent op-ed, John Burkhardt of Pfizer misses important points when he asserts that the governor’s proposed tax on excessive prescription drug price increases will harm innovation and jobs in Connecticut. He ignores that rising drug prices are making health insurance unaffordable. Overpriced drugs inhibit other innovation and job growth across Connecticut’s economy. He…

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CT ranks 5th among states in Medicaid coverage, 2nd in quality

COVID has emphasized the importance of a strong, healthy Medicaid program for states. A new analysis by WalletHub ranks Connecticut fifth among states in 2021 Medicaid coverage. Rather than just using the percentage of state residents with Medicaid coverage, the ranking included quality, spending, as well as eligibility and enrollment. We ranked 2nd in quality…

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Cost Cap finds hospital system costs driving healthcare spending, but we knew that

Download the report In a surprise to no one, the first analysis by the Cost Cap project finds that inpatient and outpatient hospital services are a main driver of rising healthcare spending in Connecticut. Hospital and drug costs have been identified in multiple studies as the main drivers of rising health costs in our state.…

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State Partnership Plan losing money but still more expensive than average CT plan options

Download the report Connecticut’s most recent public health insurance option, the Partnership Plan 2.0, offers healthcare coverage to municipal employees. According to a new analysis by Brown & Brown Insurance, Partnership Plan premium increases have not kept up with costs. The very impressive analysis is based on Freedom of Information requests; very little information on…

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CTNJ: If The COVID Vaccine Is Free For Patients, Who Is Paying For It?

Federal law ensures the COVID vaccine will be provided to every American at no cost. So who is paying for it? Because it’s healthcare, the answer is complicated and we are all paying for it – mostly through taxes and a bit through our insurance premiums. Read more

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Governor’s budget includes drug cost control and exchange subsidies, but misses other health priorities

Released today, the Governor’s budget proposal for the next two fiscal years acknowledges the importance of addressing critical health priorities, especially during a pandemic. The document highlights the state’s public health challenges of funding and implementing COVID testing, treatment, and vaccination all while facing a severe economic slowdown, high unemployment, and increased demand for social…

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CT Medicaid rates squeezed a bit but still higher than other states

A new comparison published this month in Health Affairs finds that Connecticut Medicaid provider payment rates lost some ground between 2012 and 2019, but they remain higher than the US average and well above most nearby states.  Primary care rates are highest relative to other states than other services. From 2012 to 2019, compared to…

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Connecticut Medicaid costs stable but rising physician and clinic spending threaten progress

Download the report Since switching from managed care organizations in 2012 to focus on care management, Connecticut Medicaid spending has stabilized while enrollment has expanded significantly, according to the state’s latest financial report. Medicaid now covers one in four state residents. However, physician and clinic spending increases are eroding early progress in controlling costs. Medicaid…

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