CT Health Reform
CTNJ: For a better post-COVID policy process, CT needs to abolish all committees
I couldn’t agree more with my advocacy friends who called on the legislature to open public hearings to online participation. But legislative hearings are only part of the problem. Connecticut policymakers need to abolish all taskforces, boards, workgroups, design groups, consortia, advisory and steering committees, teams, councils, and similar committees. These insular groups, run with…
Read MoreCost cap project sets limits on healthcare spending without public input, ignoring pandemic impact
In meetings of the committee setting limits on healthcare spending for all Connecticut residents, it appears the advocates’ sign on letter and detailed concerns about the Office of Health Strategy’s (OHS’s) Cost Cap project were not heard. The plan is being developed by a Technical Advisory Team, with members chosen only by OHS, including some…
Read MoreOHS committee chooses unrealistic cap for CT healthcare costs
The Office of Health Strategy’s (OHS) Technical Team choosing the cap for future Connecticut healthcare costs has decided on a 3.1% allowed increase for next year, dropping over time to 2.7% by 2025. To illustrate the impact of the cost cap, consider the significant variability in Connecticut’s per capita all-payer total healthcare cost increases from…
Read MoreCTNJ: COVID Response Offers Opportunities for Connecticut’s Future Healthcare System
The pandemic has been tragic in both lives lost and economic damage, especially to low wage workers. Our already flawed healthcare system has been seriously disrupted. Insurer profits are up, hospitals are losing money, and Connecticut healthcare jobs in April were down 28,400 from the year before. As the pandemic winds down, the recovery offers…
Read MoreCost Cap project could reduce access to care, stifle efficiency and innovation, and increase disparities
Download the Summary or Full Report Healthcare costs a lot in Connecticut, especially for middle and lower income residents. Primary care is the foundation of a healthy health system. Lowering costs and supporting primary care are important goals, however the Office of Health Strategy’s (OHS) new plan to limit costs is ill-conceived and likely to…
Read MoreAdvocates, providers send Governor, legislators letter about cost cap impact and unintended consequences
Yesterday, twenty advocates and providers sent letters to the Governor and legislative leaders objecting to the rush to develop a cap on healthcare cost increases during a pandemic, and to use the time to incorporate input from diverse stakeholders and for thoughtful design with a broad group chosen democratically. “This controversial proposal, if rushed ahead…
Read MoreCT hospitals would fare better than most if all payers used Medicare payment rates
A new study published in Health Affairs finds that if commercial payment rates were set at fee-for-service Medicare levels in 2017, US hospital revenue (inpatient and outpatient) would drop by 35%. Interestingly, also raising Medicaid rates to Medicare levels does little to mitigate that, changing the revenue loss to 30%. However, the authors note that…
Read MoreShare your ideas to support Connecticut health care coordination, access, and quality
The state is rushing to implement an expensive Health Information Exchange to access $48 million before a federal deadline. The state Office of Health Strategy (OHS) is moving forward very quickly despite concerns raised by consumers and providers about selling access to identifiable patient records to insurers and ACOs, privacy rights, the capacity of the…
Read MoreACA turns ten in troubled times
Ten years ago today, President Obama signed the Affordable Care Act. While the nation is now reeling from a terrible pandemic, imagine if 17 million more Americans didn’t have healthcare coverage, insurers could still drop people with pre-existing conditions, and charge women and cancer survivors more. While it was important, the ACA was never meant…
Read MoreLessons from SIM: Advice from Independent Advocates
Download the full responses here Connecticut’s latest attempt to reform our health system, SIM, ended last month. Despite $45 million in federal dollars, SIM didn’t accomplish much. It was mired in controversy and criticism from across the state’s healthcare landscape. SIM followed several past failed attempts to reform Connecticut’s health system. We asked independent consumer…
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