Care Management
Public comment concerns with CT’s primary care plan
Read the public comments Public comment concerns with CT’s primary care plan Today, the CT Health Policy Project submitted public comments with serious concerns about the Office of Health Strategy’s plans to overhaul primary care across the state. The Project has worked for decades to improve access to high quality, affordable care for every Connecticut…
Read MoreOHS primary care committee sharply critical of agency’s plan
In this month’s meeting of the Office of Health Strategy’s Primary Care Subgroup, patient and consumer advocates joined insurers raising very strong concerns about OHS’s plans and capacity to implement the agency’s plan for primary care in Connecticut. OHS plans to double the share of Connecticut’s healthcare spending on primary care while tightly restricting growth…
Read MoreResponse to OHS primary care capitation defense
Today, the CT Health Policy Project responded to a letter from the Office of Health Strategy regarding concerns from 25 independent consumer advocates, providers, and organizations. OHS’s response to our offer to work together to improve the health of every Connecticut resident is very welcome. In that spirit, the letter clarifies a few misunderstandings of…
Read MoreCost Cap primary care project only focusing on raising spending, not services
At the October 26th Primary Care Subgroup meeting, in response to questioning by a member, the Office of Health Strategy’s (OHS) consultants repeatedly confirmed that the goal of the Cost Cap provision on primary care is solely to raise spending, not to increase services. Members raised serious concerns about sending more money into the current…
Read MoreSign on letter voices deep concerns with primary care capitation
Today twenty-five independent advocates and providers signed a letter to the Office of Health Strategy opposing capitation of primary care services across Connecticut. The letter shares serious concerns with the Office of Health Strategy’s (OHS) plan to shift all primary care in Connecticut to a capitated payment model. The current concerns echo advocates’ and legislators’…
Read MoreCTNJ op-ed: Patient-centered or doctor-centered? Primary care planning is off track
Several state agencies and their committees are planning to expand primary care in Connecticut – that’s a good thing. But it’s being driven by primary care doctors and their needs rather than patients. Read more
Read MoreConnecticut hospital systems vary in reducing low-value care
A new report published in JAMA Internal Medicine on low-value care provided to Medicare beneficiaries at the health system level offers actionable tools to improve effective care on the ground. Healthcare services that provide little or no health benefit, may harm patients, increase costs, and waste resources are low-value. Examples include prostate specific antigen testing…
Read MoreGood and bad Medicaid PCMH, PCMH Plus updates
At today’s MAPOC Care Management Committee, we learned that Medicaid’s successful Patient-Centered Medical Home (PCMH) program is growing and keeping up with higher enrollment due to COVID. In disappointing news, we also learned that the controversial PCMH Plus program has fewer care managers than expected and only 36% of ACO member advisory committees have any…
Read MoreOHS committee considering dumbing down successful PCMH standards
Among other troubling plans, the Office of Health Strategy’s Primary Care Subgroup is considering four options to certify high-performing primary care practices for higher levels of reimbursement. The committee is deciding how to double spending on primary care while simultaneously capping healthcare cost growth. At their meeting this week, the committee of mainly primary care…
Read MoreNew Medicaid homelessness prevention program shows promise
Starting August 1st, Medicaid members at risk of homelessness will have access to housing support services and subsidies through the new CHESS program. The program is designed to address upstream problems to prevent future problems and improve overall health. Described at today’s MAPOC meeting, the plan expects to serve about 850 Medicaid members with care…
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