More doctors are moving to corporate and hospital employment, jacking up prices & new WI lawsuit

Movement of physicians from independent practice to hospital and corporate employment accelerated during COVID. By January 1st of this year, 74% of physicians in the Northeast were employed by hospitals or corporations according to a report by Avalere Health for the Physicians Advocacy Institute.  Half (52%) of Northeastern physicians work for hospitals and 22% for…

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How CT can save $162 million in healthcare waste

An analysis of Connecticut’s commercial insurance markets finds we spent $9.45 per person per month on wasteful low-value care in 2019, according to a new report by VBID Health. Of the $162 million total, $24.5 million was from patient out-of-pocket costs. Low-value care provides no or minimal benefit to patients and is an important driver…

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DSS’s new patient survey has little to say

DSS’s consultants reported on the results from their new patient experience/satisfaction survey for PCMH Plus members at this month’s MAPOC Care Management Committee meeting. The survey is important as the experimental PCMH Plus payment model risks inappropriately denying needed care and cherry-picking more lucrative patients. The main result, revealed in answer to a question, is…

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Good News — Senate passed SB-416 to lower healthcare prices

On Wednesday, the Senate voted 29 to 4 to pass SB-416, An Act Promoting Competition in Contracts Between Health Carriers and Health Providers, without amendments. The bill passed out of the insurance committee unanimously and received overwhelmingly positive feedback in the public hearing. Two lawsuits have been filed against Hartford Healthcare for anti-competitive conduct, driving up…

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Why is healthcare like this?

Healthcare is complicated. It often doesn’t make sense – to consumers, patients, students, policymakers, providers, administrators, and everyone else. The lack of understanding has discouraged people from engaging and slowed progress toward real reform. We’ve heard from people across the continuum that there is no place to find balanced, comprehensive answers that is understandable and…

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COVID’s lessons — and what we can do about them

COVID exposed Connecticut’s underlying health disparities to new audiences, receiving a lot of public attention. But what have we learned? A new report from the CT Health Foundation looks at what went wrong, what went right, and what we can build on to fix this long-standing problem. Going back to the old-normal of inequities isn’t…

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Legislators hear diverse voices favoring competition to control healthcare costs

Update 3/22/2022 — SB-416 passed the Insurance and Real Estate Committee unanimously. Twenty-one organizations and state residents testified in favor of SB-416 in Thursday’s Insurance and Real Estate Committee public hearing. Just three testified against. SB-416 would level the playing field in Connecticut’s healthcare market by prohibiting anti-competitive contract clauses used by large health systems…

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Testimony: Consolidation’s harms to stressed healthcare workers

From Haley Magnetta, fellow at CT Health Policy Project, written testimony in support of SB-417, An Act Promoting Competition in Contracts Between Health Carriers and Health Care Providers I am testifying as a clinically practicing Emergency Medicine Physician Assistant (PA). As a provider who has worked in hospitals that have been consolidated, I want to…

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Fact Check: Does OHS’s Primary Care Roadmap include capitation? Yes, 31 times

In the Insurance Committee’s March 1st public hearing on HB-5042, advocates stated that the Office of Health Strategy’s Primary Care Roadmap plan, authorized in the bill, includes capitation as the payment model. Primary care capitation has failed in Medicare despite significant investment and multiple trials. Advocates are concerned that, if implemented, the Roadmap would divert…

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Insurance committee to hear bill to 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. Next Thursday, March 14th, the insurance committee will hold a public hearing on SB-416, An Act Promoting Competition in Contracts Between Health Carriers and Health Care…

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