Care Management
CT smoking costs total $4.9 million over a lifetime
A new analysis by Nerd Wallet finds that smokers in Connecticut cost an extra $4.9 million over a lifetime or $102,883 per year on average, the 4th highest rate in the US. Only smokers in New York, the District of Columbia, and Maryland have higher costs. Costs include not only out-of-pocket costs for cigarettes, but…
Read MoreComments on Medicaid maternity bundle plans
DSS is planning to move Medicaid payments for maternity services to a per-person bundle from the current fee-for-service arrangement. They will also expand services to include doula and lactation supports. However, advocates have asked questions and raised concerns about unintended consequences when providers make more money by reducing the costs of their patients’ care. While…
Read MoreAnalysis: Healthcare defies softening labor market
The post-COVID hot labor market is cooling in Connecticut and across the US. While some industries are still seeking qualified workers, others are fully employed or even laying people off. But healthcare hiring is still scorching hot, with no end in sight. It’s increased demand for care but also the stresses of the job. Read…
Read MoreCT Medicaid Primary Care Redesign: What the Evidence Says Part 4: Better, Safer Options
Download the full report with sources Connecticut Medicaid is considering reforms to primary care delivery and payment. The CT Health Policy Project is collecting evidence from other states and programs to help inform that planning. Part 1 focused on Connecting with community services to improve health. Part 2 explored primary care payment reform, especially value-based…
Read MoreCT Medicaid primary care redesign: Payment reform
Download the full report with sources Connecticut Medicaid is considering reforms to primary care delivery and payment. The CT Health Policy Project is collecting evidence from other states and programs to help inform that planning. Part 1 focused on Connecting with community services to improve health. A major part of DSS’s planning for reform is…
Read MoreCT primary care redesign: What the evidence says
Early in 2023, Connecticut’s Department of Social Services (DSS) embarked on an ambitious planning process to make significant changes to primary care delivery and payment in our state’s Medicaid program. DSS’s planning committee meeting materials and recordings are available here. In Connecticut, there have been differing perspectives about the status of primary care, Medicaid and…
Read MoreAnalysis: CT State Employee Health Plan Tied for Richest in US
Last year, Connecticut’s health plan for current state employees and their dependents covered 98% of the costs of that care, according to a new report by Georgetown’s Center on Health Insurance Reform. We are tied with Vermont for the richest state employee plan in the nation. Connecticut’s plan for state employees and dependents would qualify…
Read MoreAnalysis: Limiting the Metrics We Use to Track Healthcare is Cheating
The quality of healthcare in Connecticut is average at best. There is a strong consensus that provider payments should be contingent on performance and quality measures, called value-based payment, or VBP. But the consensus ends there. Read more
Read MoreStudy finds only two thirds of CT patients getting primary care, 11th worst in US
Download the report A new study by Fair Health found that of Connecticut patients who had a medical visit from 2016 through 2022, one third (33.1%) had no claim for a primary care visit. Connecticut was 11th highest among states in patients missing primary care visits. At half of Connecticut’s rate, Massachusetts was the best…
Read MoreCT Medicaid costs stable but hospital spending needs monitoring
Download the report Sources below Connecticut Medicaid per member costs are stable and growing slower than other states. CT Medicaid per member costs are lower than all but 27 other states, just below the median. But hospital spending increases could erode that progress. Medicaid is not the driver of rising state budgets, growing less than…
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