conflict of interest
Early 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…
Read MoreHartford Courant highlights SIM conflicts of interest impact, ethics law loophole
Today’s Hartford Courant includes a deep dive into instances of steering committee members getting grants and changing policies to benefit their interests. Unfortunately SIM falls into a loophole in CT law that exempts its members from the state Code of Ethics for Public Officials. A bill to close that loophole cruised through legislative committees but…
Read MoreCT insurance exchange premiums high, but growing slower than national and regional averages
A new analysis by the Urban Institute finds that insurance exchange premiums for the lowest-cost Silver plan in CT averaged 0.7% growth annually over the last two years. This is well below growth at the national and regional averages of 5.5% and 4.2% respectively. While they aren’t rising as quickly, CT premiums started out much…
Read MoreGood news on CCIP – SIM’s plan for Medicaid
As recommended by independent advocates and others at from the Care Management Committee, DSS and SIM have agreed to make SIM’s Community and Clinical Integration Program (CCIP) optional for Medicaid provider networks, at least for the first year. Advocates and others on the committee were concerned that the plan was too prescriptive, very expensive, and…
Read MoreAdvocates’ letter urges delay of SIM plans for Medicaid
Fifteen independent advocates sent a letter to the administration yesterday expressing deep concerns with SIM’s Community and Clinical Integration Plan (CCIP) for Medicaid. Advocates are concerned that CCIP will undermine hard-won progress in our state’s Medicaid program that has improved access to high quality care while controlling costs. In contrast to successful programs in other states, SIM…
Read MoreSIM’s CCIP proposal for Medicaid reform – poor process drives weak plan
Public comments from the CT Health Policy Project raise deep concerns about SIM’s proposal for Medicaid reform requirements could undermine hard-won successes in the program and may not achieve the goals. The Community and Clinical Integration Plan (CCIP) is SIM’s plan for community-based resources to support Medicaid advanced networks that will be sharing in savings…
Read MoreMedicaid update – plans to “transition” 17,688 HUSKY parents off the program, serious SIM/CCIP problems jeopardize Medicaid redesign
Friday’s Medicaid Council meeting focused on implementation of last year’sbudget provision that will end coverage for 17,688 HUSKY parents on July 31stof this year. DSS reported on efforts to assure that people still eligible for Medicaid in other categories do not lose coverage. Of the 1,215 parents who lost coverage last year due to the…
Read MoreFebruary web quiz: costs on CT’s health insurance exchange
Test your knowledge about costs of plans and MLRs on CT’s health insurance exchange. Take the February CT Health Policy Webquiz.
Read MoreAdvocates urge SIM not to disrupt successful Medicaid PCMH program
In a letter to SIM steering committee members, the Medicaid Study Group urged support for DSS’s decision to build Medicaid reforms on the successful person-centered medical home program. Specifically the Group applauded DSS’s decision to only include members served by certified PCMHs in the new, untested shared savings model being planned for Medicaid. The Medicaid…
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