Book Club: Risky Business—Why Insurance Markets Fail And What to Do About It

I thought I knew a lot about how insurance markets work (and don’t), but I learned more than I expected from Risky Business—Why Insurance Markets Fail And What to Do About It by Liran Einav, Amy Finkelstein, and Ray Fishman. Adverse selection (commonly called cherry picking) is a double-edged problem. I knew about insurers’ schemes…

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Medicaid MCOs and cost savings – 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 save states money in state Medicaid programs? We looked into the evidence. In a word, No. From the literature: The evidence does not support Medicaid managed care saving money…

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Analysis: What to do about private equity in healthcare?

The news is full of Prospect Medical Holdings, a private-equity fund, laying waste to three Connecticut hospitals. State policymakers are looking to create guardrails so that this doesn’t happen again. But we were warned two years ago and policymakers didn’t act. Read more

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Analysis: Governor’s healthcare budget is a mixed bag

In his new budget proposal, Gov. Ned Lamont and his administration have continued their commitment to making healthcare in Connecticut more affordable. They understand healthcare’s large and growing burden on state residents, employers, and taxpayers. They also understand the challenges, given Connecticut’s historically poor record on reforms. Some proposals make sense, and some are more…

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CT 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…

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Book Club: Healthy Voices, Unhealthy Silence: Advocacy and Health Policy for the Poor

It was difficult to read Healthy Voices, Unhealthy Silence by Colleen Grogan and Michael Gusmano; thankfully it is short. It explores Connecticut’s adoption of managed care for Medicaid in 1996. The picture it paints is not flattering. Published in 2007, I’m embarrassed that I hadn’t seen this book before now. The authors track the implementation…

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Analysis: Bristol Hospital VP Says Unfair Practices Are Leading to a Nurse Shortage For Independent Hospitals

Healthcare is expensive in Connecticut. The shortage of nurses is a prime driver of those rising costs. Nursing is hard and dangerous work. While the state is working to lower healthcare costs across Connecticut, another state entity is driving up private nursing costs. Read more

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Op-Ed: This Is Why CT Can’t Lower Healthcare Costs

After years of deliberation, Connecticut’s state plan to cap healthcare costs has finally identified the drivers of those costs in our state. But the Steering Committee, dominated by healthcare industries, still isn’t brave enough hold the overspenders accountable. They want the profitable industries to come up with ideas to lower their own costs (what could…

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OHS seeks community input on YNHH purchase of three more hospitals

The Yale-New Haven health system has applied for permission from the state to buy Waterbury, Manchester Memorial, and Rockville General hospitals. The state Office of Health Strategy is seeking community input through a short survey about how this deal could impact healthcare services and costs. These three hospitals are currently owned by Prospect Medical Holdings,…

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