Care Management
Legislators hear voices calling for consolidation protections to lower healthcare costs
Download our testimony Yesterday’s public hearing testimony was largely supportive of two bills to prohibit anti-competitive clauses in hospital system contracts with payers. Seventeen testimonies favored the bills, while eight opposed, mainly calling for more transparency and consistency in contracts. Several testimonies (here, here, here, here, and here) favoring the bills came from state residents…
Read MoreCT hospital readmission penalties higher than US, again
Even with an eased formula due to COVID, all but one acute care Connecticut hospital will be penalized by Medicare next year for higher-than-expected readmission rates. Next year, Connecticut hospitals will be docked by 0.456% on their Medicare payments, higher than the US average of 0.428%. Average Connecticut hospital readmission penalties have been higher than…
Read MorePrimary care spending boost and capitation didn’t work in private plans either
The big idea circulating in some CT health policy circles to control the costs of healthcare is to boost primary care with tons of money and capitate provider payments. Primary care is regular health care for prevention, like check-ups, and common health problems. A new study finds that the idea failed in private insurance, as…
Read MoreDSS’s new patient survey has little to say
DSS’s consultants reported on the results from their new patient experience/satisfaction survey for PCMH Plus members at this month’s MAPOC Care Management Committee meeting. The survey is important as the experimental PCMH Plus payment model risks inappropriately denying needed care and cherry-picking more lucrative patients. The main result, revealed in answer to a question, is…
Read MoreBook Club: The Long Fix
I’ve been avoiding reading The Long Fix: Solving America’s Health Crisis with Strategies that Work for Everyone by Vivian Lee. But this semester, one of my students asked if she could read it for her Book Review assignment. I couldn’t really refuse, so I had to read it too. The author, a physician and healthcare…
Read MoreCTNJ: Fact Check Shows That Raising Primary Care Spending Doesn’t Lower Total Healthcare Costs
The Office of Health Strategy and their consultants have asserted that it is critical to double spending on primary care in Connecticut to lower skyrocketing total healthcare costs. It’s very appealing to think that increasing investments in prevention and care management will reduce total costs. It avoids the difficult work of getting large health systems…
Read MoreCOVID’s lessons — and what we can do about them
COVID exposed Connecticut’s underlying health disparities to new audiences, receiving a lot of public attention. But what have we learned? A new report from the CT Health Foundation looks at what went wrong, what went right, and what we can build on to fix this long-standing problem. Going back to the old-normal of inequities isn’t…
Read MoreFact Check: Does OHS’s Primary Care Roadmap include capitation? Yes, 31 times
In the Insurance Committee’s March 1st public hearing on HB-5042, advocates stated that the Office of Health Strategy’s Primary Care Roadmap plan, authorized in the bill, includes capitation as the payment model. Primary care capitation has failed in Medicare despite significant investment and multiple trials. Advocates are concerned that, if implemented, the Roadmap would divert…
Read MoreNew Cost Cap industry-driven committee gets going
Members of the Office of Health Strategy’s (OHS) latest committee to drive down the growth in Connecticut’s healthcare spending moved past their initial reluctance to engage in their November and December meetings. OHS expects the provider and insurer-dominated committee to agree on ways to reduce their own costs/profits. Hopefully, they do not also use the…
Read MoreFAQs on OHS’s Primary Care Roadmap
Download the FAQs here Connecticut’s Office of Health Strategy has developed a Primary Care Roadmap to support primary care in Connecticut. OHS is accepting public comment on the draft Roadmap until the close of business Friday, January 14th. To send comments, email Tina.Hyde@ct.gov and put “Primary Care Roadmap” in the subject line. You should get…
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