Care Management
DSS outlines options to move HUSKY away from capitation – or not
At yesterday’s Medicaid Care Management Oversight Council (formerly known as the Medicaid Managed Care Council), DSS outlined three policy options to restructure HUSKY’s financing. The options were a response to direction in the latest budget to move HUSKY from a fully insured, capitated system to a self-insured, ASO model; the budget included approximately $75 million…
Read MorePCCM Update
At yesterday’s Appropriations’ Human Services Subcommittee meeting, DSS reported on progress toward implementing a pilot Primary Care Case Management program for HUSKY. DSS has been busy researching other states’ PCCM programs, including a January trip to MA to hear from several states’ about best practices and collecting PCCM provider contracts. DSS generously invited this advocate…
Read MoreGovernor’s proposal to cut interpreters faces opposition
An article on ctnewsjunkie.com reports on Friday’s press conference by legislators opposing Governor Rell’s proposal to cut $4.7 million for medical interpreters in Medicaid. At last week’s Medicaid Managed Care Council, CT Voices for Children presented on the very high and growing rate of costly emergency room visits by Medicaid Managed Care/HUSKY patients. 38% of…
Read MoreOver 40 million Americans missed needed health care services due to cost
18.6% of American adults did not receive needed medical care in 2005 because they could not afford it, according to a new report by the CDC. 25 million did not get needed dental care, over 18 million missed needed prescriptions and over 15 million did not get medical care they needed because of cost. 6%…
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