Care Management
VT rejects troubling federal AHEAD changes, CT still considering it
Vermont, one of the first two states scheduled to implement the federal AHEAD model has withdrawn from the program. State officials stated, “Vermont originally pursued the model when it was launched in 2023 as an opportunity to strengthen our health care systems. However, new policy and operational guidance to bring Vermont in alignment with other…
Read MoreCT Medicaid Home & Community Services spending up, but that’s what we want
Read the report Recently, Connecticut Medicaid per member costs have grown significantly while enrollment is easing, according to the latest state financial report. Since switching from managed care organizations in 2012 to focus on care management, Connecticut Medicaid spending had stabilized while enrollment expanded significantly. With COVID, enrollment grew and per member costs dropped. Post-COVID…
Read MoreCT 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 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, the…
Read MoreCTNJ: Advice to CT’s next Medicaid Director
Welcome. You’re taking on a big job at a difficult time. Your program covers healthcare for one in five state residents and is about a quarter of the state budget. But we’re in a very good place and you’ll have lots of help. The good news first. Read more
Read MoreNew resource on CT health equity
Making data actionable, the Connecticut Health Equity Dashboards offer a single source of detailed information on important health and social determinants at the town and neighborhood levels. Created by the state Office of Health Strategy, the site compares dozens of metrics across chronic care management, burden of disease, complications and poor outcomes, access to prevention,…
Read MoreAnalysis: Why is quality always TBD?
The quality of healthcare in Connecticut is average at best. Poor quality care compromises our health. But too often, improving quality is an afterthought. Paying less for poor quality is no bargain. We need both quality improvement and cost control. Thankfully, improving quality saves money. Read more
Read MoreAnalysis: 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…
Read MoreHUSKY 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…
Read MoreMedicaid chapter in CT Healthcare Explained updated
We’ve made a massive update to the Medicaid chapter of CT Healthcare Explained. The update was prompted by new numbers and updated performance. We also included the significant changes to the program required by the budget bill passed by Congress and the Trump administration this month. We also included a description of Connecticut’s decision not…
Read MoreCTNJ Analysis: It’s Time To End HUSKY’s ‘Value-Based’ Medicaid Program
Connecticut’s Person-Centered Medical Home (PCMH) Plus program has been troubled from its start in 2017, and it’s time to go in a new direction. Read more
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