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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…
Read MoreBook 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…
Read MoreAnalysis: 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
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 MoreOp-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…
Read MoreOHS 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,…
Read MoreAnalysis: How Brain Shortcuts Undermine Policymaking
Thinking is hard work. Adult brains are only 2% of our body weight, but they use 20% of our body’s energy. To handle the load, we have evolved hard-wired shortcuts called cognitive biases that sometimes backfire. Public policymaking is not immune – it’s riddled with biases that are driving poor decisions. Read more
Read MoreCT low wage workers pay more but get less health benefits
Download the data Download the brief Connecticut workers with the least resources are charged more for less, when they are offered health benefits, according to a new analysis of 2021 federal Medical Expenditure Panel data. The lowest wage workers in Connecticut are less likely to be offered health benefits, are offered less generous plans, and…
Read MoreLegislators 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 MoreInsurance committee to hear bills that mitigate consolidation and lower healthcare costs
Download our testimony One of the main drivers of Connecticut’s rising healthcare costs is consolidation in the healthcare market, making health coverage increasingly unaffordable for consumers, employers, and businesses. The consolidation of hospitals and providers into large health systems in Connecticut has stifled competition, allowing prices to rise unchecked. Large health systems use anti-competitive contract…
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