Care Management
Governor’s consultant report recommendations for Medicaid savings are baseless
It’s not in the headlines but the biggest source of potential savings, $200 million, proposed by the Governor’s controversial report from Boston Consulting Group (BCG) to save money in state government to is to go back to failed Medicaid financial risk models. There are two problems with the proposal. First, the financial risk models don’t…
Read MoreConnecticut Medicaid costs stable but rising physician and clinic spending threaten progress
Download the report Since switching from managed care organizations in 2012 to focus on care management, Connecticut Medicaid spending has stabilized while enrollment has expanded significantly, according to the state’s latest financial report. Medicaid now covers one in four state residents. However, physician and clinic spending increases are eroding early progress in controlling costs. Medicaid…
Read MoreCT Medicaid eligibility and service decisions benefit members but also the state budget
It may be counter-intuitive but, despite our high incomes, Connecticut’s generosity in eligibility and provider rates means the federal government provides more support to our program than other states. Medicaid is jointly funded, and administered, by both federal and state governments. Federal funding is highest to states with the lowest per capita incomes. As a…
Read MoreCT suicide prevention planning to save lives
Like the rest of the nation, deaths by suicide were rising in Connecticut even before the pandemic, according to the State of Connecticut Suicide Prevention Plan for 2020 – 2025. One in three Connecticut residents have reported signs of depressive and/or anxiety disorder during the pandemic. The newly released plan offers data-driven recommendations to prevent…
Read MoreUS safe injection sites could save lives and save cities up to $4.35 million each year
Allowing safe sites for injecting opioids in the US would save lives and lower healthcare spending significantly for affected communities, according to ICER’s latest draft evidence report. In 2018, opioid overdoses killed 948 Connecticut residents and there are signals that the rate has risen during the pandemic. Supervised injection facilities (SFIs) are part of a…
Read MoreHalf of current COVID hospital admissions are Medicaid members
Connecticut Medicaid has taken a serious hit from COVID. At Friday’s Medical Assistance Program Oversight Council meeting, we learned that while hospitalizations went up, outpatient and physician care went down. In May outpatient care spending was down 51% from last year and physician care was down 36%. Those numbers have risen somewhat but are still…
Read MoreCTNJ: COVID Response Offers Opportunities for Connecticut’s Future Healthcare System
The pandemic has been tragic in both lives lost and economic damage, especially to low wage workers. Our already flawed healthcare system has been seriously disrupted. Insurer profits are up, hospitals are losing money, and Connecticut healthcare jobs in April were down 28,400 from the year before. As the pandemic winds down, the recovery offers…
Read MoreShare your ideas to support Connecticut health care coordination, access, and quality
The state is rushing to implement an expensive Health Information Exchange to access $48 million before a federal deadline. The state Office of Health Strategy (OHS) is moving forward very quickly despite concerns raised by consumers and providers about selling access to identifiable patient records to insurers and ACOs, privacy rights, the capacity of the…
Read MorePCMH (no Plus) program continues to grow and improve care
At MAPOC’s Care Management Committee meeting Wednesday, the state provided the latest numbers from the successful Person-Centered Medical Home program. PCMHs are primary care practices that coordinate care for patients, offer expanded hours, and address population health needs. The program continues to grow, adding 52 primary care providers and seven new sites of care in…
Read MoreCommunity health centers still struggle with ED visits
As in the past, Medicaid patients of Connecticut’s community health centers are far more likely to visit an ED than other Medicaid patients, according to a presentation by CHNCT at Friday’s Medicaid Council meeting. While rates have decreased a bit, the very large gap in ED use rate between clinic patients and other Patient-Centered Medical…
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