conflict of interest
Another reason to be glad HUSKY fired managed care
New favorite quote – “If you have a dumb incentive system, you get dumb outcomes.” Charlie Munger, quoted by 46brooklyn A new analysis by 46brooklyn highlights the extra costs to Medicaid managed care programs of drug industry middlemen. Ohio’s Medicaid program pays $224 extra in markups to Pharmacy Benefit Managers (PBMs) hired by managed care…
Read MoreCTNJ op-ed: Health disparities are real and new payment schemes are probably making them worse
Connecticut is a very healthy place; we rank fifth healthiest among states. But not all state residents share in that good fortune; too many suffer from health inequities. Very good people across the state are doing important work promoting better health for everyone. However some emerging policies, both government and private sector, are working at…
Read MoreLast year CT physicians and teaching hospitals received $34 million from manufacturers and GPOs
New data shows that 21 teaching hospitals and 13,310 physicians in CT received $34 million in payments and gifts from drug and device manufacturers and Group Purchasing Organizations (GPOs) last year. Open Payments, the searchable federal data source, was created by the Affordable Care Act which requires that manufacturers disclose payments to physicians and teaching…
Read MoreNew Hartford HealthCare-Tufts insurance company raises concerns
Wednesday, Hartford HealthCare and Tufts Health Plan announced the formation of a new, jointly-owned insurer, CarePartners of Connecticut, to sell Medicare Advantage plans to Connecticut residents for next year, pending CMS approval. Hartford HealthCare includes thousands of providers in home health care, rehab services, long term care, behavioral healthcare, and five hospitals, to date. In…
Read MoreCTNJ: Advocates must inform consumers of risks when the state won’t
This week, independent advocates launched PCMHPlusFacts.org, a campaign to give HUSKY members balanced information about an experimental, new payment model expanding across the program. PCMH Plus has risks for consumers along with possible benefits, but HUSKY members aren’t aware of them or that they have the right to opt-out of the new payment model. Read more
Read MoreAdvocates launch PCMHPlusFacts.org, giving HUSKY members balanced information on the controversial new program
Today, independent consumer advocates launched a website, PCMHPlusFacts.org, to explain the facts about HUSKY’s experimental, new payment plan to run the program. The site was developed in response to the state’s erosion of federally required notices to consumers about their right to opt-out of the program. The state changed the notices at the last minute…
Read MorePoor choice of monitor in YNHH-L+M deal undermines accountability
Yale-New Haven Health has chosen Deloitte & Touche to monitor compliance with conditions of their acquisition of Lawrence + Memorial Healthcare. The conditions on the unusual acquisition were set in place by the state to protect prices in the new monopoly market, protect health services for southeastern CT, oversee promised investments in the region, and…
Read MoreSIM update
Across various meetings this month we’ve received a few updates on CT’s SIM planning. CT is competing with 17 other states for 12 test grants. SIM staff has acknowledged receipt of the independent advocates’ letter to CMMI and an FOI regarding Consumer Advisory Board voting and SIM budget development, but we’ve had no response to…
Read MoreEarly look at exchange premiums finds Hartford premium trends modest compared to other US cities
A Kaiser Foundation very early look at 2018 health insurance exchange monthly premium proposals, subject to change, across 21 US cities predicts that Hartford consumers will do well next year. The report compares early rate filings for a 40 year old non-smoker making $30,000/year choosing the second-lowest silver plan. Silver plans are the most popular.…
Read MoreCT teaching hospitals received $8.3 million from drug and device manufacturers last year
New data shows that nineteen teaching hospitals and 11,016 physicians in CT received payments from drug and device manufacturers last year. Open Payments, the searchable federal data source, was created by the Affordable Care Act which requires that drug and device manufacturers disclose payments to physicians and teaching hospitals. While every CT hospital received some…
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