Care Management
Webinar on new HIE for Connecticut
For years, Connecticut providers and payers have been begging for a functional Health Information Exchange (HIE). An HIE allows providers delivering care to each patient to share information, notes, careplans and lab results. A functional HIE should help coordinate care, lower costs, avoid duplication and overtreatment, and make everyone’s lives easier. Despite numerous attempts, many…
Read MoreQuality challenges remain in CT Medicaid PCMHs
Also at Friday’s meeting, DSS reported on a selection of quality results from 2015, highlighting concerns. The results compared quality measures for patients receiving care from private practice and community health center Patient-Centered Medical Homes. In other programs, PCMHs have improved quality performance over non-PCMH practices. There remains a lot of room for improvement. Only…
Read MoreCommunity Care Teams addressing high-cost Medicaid member needs
Friday’s MAPOC Complex Care Committee meeting focused on Community Care Teams (CCTs) that collaborate across social service to help people with complex health problems. So far, seven CT communities are developing or already operating CCTs that focus on frequent ED visitors. The CCT teams include hospitals, behavioral health and primary care providers with community resources…
Read MoreAdvocates’ Medicaid Study Group offers recommendations for Medicaid shared savings reform
Over a dozen Connecticut independent consumer advocates representing diverse populations and issue areas spent the last several months diving deep into Medicaid shared savings and today released recommendations for our state’s program. The Medicaid Study Group formed early in 2015 in response to a request from the Co-Chairs of the Medicaid Council’s Care Management Committee to…
Read MoreAdvocates’ guide to underservice recommendations
Connecticut’s State Innovation Model (SIM) is seeking to radically transform our state’s $30 billion health system by aligning incentives to build value. SIM has chosen a shared savings payment model for those reforms. Advocates are concerned about incentives to deny necessary care under the new payment model, as happened in the past. SIM’s Equity and…
Read MoreAdvocates’ guide to underservice recommendations
SIM is seeking to radically transform our state’s $30 billion health system and has chosen a shared savings payment model for those reforms. Advocates are concerned about incentives to deny necessary care under the new payment model, as happened in the past. SIM’s Equity and Access Council was charged with developing protections to limit and…
Read MoreWebinar online – Caring for high-need patients – Lessons for CT
Evidence is growing that we cannot fix our health care system without addressing the needs of the small number of patients with very complex and costly health problems. Connecticut can learn from other programs across the US as we build reforms for our state and our Medicaid program. On this week’s webinar we heard from…
Read MoreCSG/ERC Hopkins tour highlights patient safety, care coordination and cancer innovations
Yesterday’s off-site trip to Johns Hopkins from the CSG/ERC annual meeting was impressive. We heard about out of the box thinking by a clinical scientist that led to a breakthrough in treating lung cancer – that very low, but longer term doses of chemotherapy drugs worked better than full doses in shrinking tumors and helped…
Read MoreMedicaid Council update
Friday’s Medicaid Oversight Council meeting focused on the success of the Intensive Care Management Program. The program provides the most fragile Medicaid consumers with team-based, patient-centered care starting with a comprehensive assessment of what consumers need, both health and other supports, strengths and barriers. The team supports the consumer in setting their own goals and…
Read MorePCCM/HUSKY Primary Care now on Facebook
The effort to move PCCM forward in Connecticut is taking a new turn – yes, we are joining Facebook! Type in “HUSKY Primary Care” on Facebook. The goal of this new group is to get people on or interested in HUSKY to talk about the exciting new option of PCCM/HUSKY Primary Care, with each other…
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