Former Medicaid official offers options to improve the program and a warning

Recently retired from DSS, Steven Colangelo answered the state’s invitation for recommendations to improve HUSKY. He worked at DSS more than 31 years, 10 in Medicaid, focused on the quality of care. His tenure crossed numerous state administrations and seismic shifts in Medicaid policy at the federal level. Steven opposes current state plans to return…

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HUSKY maternal health bundle questions 2.0

Based on DSS’s MAPOC presentation Friday on plans for maternity bundled payments, the CT Health Policy Project submitted some questions about the plan. The commendable goals of the plan are to improve health outcomes, equity, quality, and access to care while controlling costs through care management and greater efficiency. DSS plans to pay obstetrics practices…

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Analysis: The uninsured are still with us

September used to be a key month for policy wonks. We all eagerly awaited new Census numbers of the uninsured. But since passage of the Affordable Care Act (ACA), there is less attention to the uninsured. There is a sense that we are past the problem of people without coverage. But the latest Census numbers…

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How CT can support the professionals who support patients

How CT can support the professionals who support patients A new brief by the CT Health Foundation highlights the value of trained health support professions and recommendations for sustainable funding. The brief outlines evidence that including support professionals in care teams improve health outcomes and patient experience of care, especially for underserved populations. Engaging them…

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Six common myths about healthcare and three reasons why people believe them

Healthcare is complicated, people are easily confused, and there are powerful motivations to believe the many misconceptions. I was reminded of this at the last meeting of the industry-led group that is steering the state’s efforts to control healthcare costs. But the problem isn’t limited to industry representatives. Read more

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CT Mirror Opinion: Keep MCOs out of HUSKY health care

“In the past, managed care organizations were a disaster for Connecticut’s Medicaid program“ Former legislator, Medicaid provider, member of Medicaid’s state oversight council, and champion for member access to care who lived through the MCO years, Vickie Nardello says, “ I strongly disagree with Gov. Ned Lamont’s plan to bring managed care organizations (MCOs) back…

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Analysis: Medicare’s drug price negotiation – Why it’s a big deal

For the first time, Medicare has negotiated prices with pharmaceutical companies. Prescription drug costs are a significant driver of rising healthcare costs in Connecticut, rising 7.7%  from 2021 to 2022, more than any other category. Medicare covers one in five Connecticut residents, mainly seniors and people with disabilities, and is the biggest purchaser of drugs…

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HUSKY parents’ cut expected to impact 15,300 starting in October

In this year’s budget, Connecticut policymakers cut Medicaid/HUSKY coverage for 15,300 low-income parents and caretakers of children. The timing of the cuts and options for other state coverage vary depending on each families’ circumstances. It’s all very confusing, both for HUSKY members and the rest of us. Thankfully, the CT Health Foundation has a new…

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Book 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…

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DSS 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…

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