Care Management
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…
Read MoreHUSKY evaluation call is broad; Includes MCOs but is not biased
Updated August 15, 2024 with Questions and Answers to DSS Last month, DSS released their promised request for quotes (RFQ) from current contractors to evaluate Connecticut’s Medicaid program. (Questions from potential RFQ applicants and DSS’s answers are here.) The RFQ includes important broad priorities that are shared by advocates and other stakeholders, including an evidence basis…
Read MoreBook 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…
Read MorenoHuskyMCOs webinar for advocates online
A recording and slides from yesterdays’ noHuskyMCOs webinar for advocates is online. The webinar covered – Questions included — If your group would like a presentation on noHuskyMCOs, email andrews@cthealthpolicy.org.
Read MoreAnalysis: Why most other states use Medicaid MCOs and why CT doesn’t
A question has been posed to opponents of MCOs in Connecticut’s Medicaid program. Under the Rowland administration, Connecticut started using Medicaid MCOs, but we removed them in 2012 because they weren’t performing. Advocates are strongly opposed to using MCOs in HUSKY. But if they’re so terrible, why do 40 other states use MCOs to run…
Read MoreCT Mirror Viewpoint: Husky MCOs would harm access to mental health care
A new CT Mirror Viewpoint from a HUSKY mental health provider describes why the Governor’s idea to bring managed care back would drive more providers from the program. Demand for mental health care has never been higher and is a serious concern for HUSKY. Donna Nicolino is a trauma specialist participating in both Connecticut’s non-MCO…
Read MoreMedicaid MCOs and quality, access – What the evidence says
Go to the full report Governor Lamont is reportedly considering a plan to have private insurance managed care plans (MCOs) run Connecticut’s Medicaid program. Do MCOs improve quality or access to care in state Medicaid programs? We looked into the evidence. In a word, No. From the literature: The evidence does not support Medicaid MCOs…
Read MoreAnalysis: The Governor Could Be Making a Big Mistake
When I first heard the rumor from various sources that Gov. Ned Lamont was exploring returning control of the HUSKY insurance program to a managed care company, I didn’t take it seriously and neither did they. But apparently it’s true. Read more
Read MoreWebinar: Improved prescribing through education and reporting
Connecticut providers and payers are struggling to find ways to address prescription costs and the quality of prescribing. Hear how Mass General Hospital & Physicians Organization’s program improved prescribing quality and efficiency. The webinar is Friday, February 16th at 1pm. Register here. Greg Low, RPh, PhD recently transitioned to a new position as the Manager…
Read MoreMaking it work: Connecting medical and social care in Waterbury
As healthcare costs skyrocket, policymakers are searching for ways to improve the social drivers of poor health with little success. The problem is that the medical system has all the money, while community services manage on shoestrings, and they don’t connect with each other. Some innovators in Connecticut are doing the work to connect the…
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