CT Health Reform
CT ranks 5th among states in health system performance this year, up from 9th last year
Connecticut’s health system performs better than all but four other states, according to the latest Commonwealth Fund State Scorecard. We are first in Healthy lives, up from sixth last year. Surprisingly, we also do very well on Access & Affordability (sixth) – it must be the access part. But we have a lot of work…
Read More2019 Connecticut legislative session – what happened and what didn’t happen
Download the full report Connecticut’s General Assembly debated an unusually large number of health-related proposals this year. Some were new and some have been debated for years. Some passed, some were rejected, and some are on hold for next year. As of this writing, only the minimum wage increase bill has been signed into law…
Read MoreState budget deal restores coverage for 4,000 HUSKY parents, a move toward quality-based payments, and insurance protections
Policymakers have reached a $43 billion state budget deal to cover the next two fiscal years, on-time before the end of the session. For health policy folks, there is a lot to like in the deal but a few notes of caution. The best part is a partial restoration of HUSKY parents’ eligibility cuts from…
Read MorePublic option gone but good pieces remain
Negotiations over a public health insurance option in CT have broken down but other good parts of the deal remain. Reportedly, there is a budget agreement to restore HUSKY eligibility for some of the 11,000 working parents cut in 2016. DSS reports found that the large majority of the low-income parents cut from HUSKY were…
Read MoreCTNJ: Better Public Option Bill Looks to Bigger Picture
Rising health insurance costs are crushing Connecticut families and small businesses. From 2008 to 2014 deductibles in our state rose 67% for families and 50% for small businesses. The Connecticut Option, Democrats’ newest public health insurance option bill, not only improves feasibility of the concept but also begins to address the foundations of rising health…
Read MoreAdvocates offer recommendations for Medicaid shared savings future
The first year of Connecticut Medicaid’s PCMH Plus experiment in shared savings was disappointing. The program cost the state at least $1.3 million extra tax dollars and quality did not improve compared to Medicaid members outside the program. Every Accountable Care Organization (ACO), regardless of savings or quality improvement, was rewarded with a payment. The…
Read MoreBetter, safer ideas to support primary care in Connecticut
Download the report Primary care is the foundation of the health system. It is, or should be, patients’ first interaction with the healthcare system for non-urgent issues. There is strong evidence that care coordination linked to primary care practices, such as patient-centered medical homes (PCMHs), foster improved health while lowering costs.[i] Areas with more primary…
Read MoreCTNJ op-ed – Advice From an Advocate to the Next Social Services Commissioner
Welcome, you have a big job ahead of you. Connecticut’s Department of Social Services (DSS) is a huge agency, spending $8.4 billion this year for programs that impact many lives. As a healthcare advocate who has spent decades trying to move your agency and your predecessors, with mixed results, you have a difficult job. Luckily…
Read MoreSIM primary care capitation proposal gets another tepid reception
This week, SIM presented to the Healthcare Cabinet their proposal to capitate primary care, initially for Medicare members, but eventually for all state residents. The proposal is to move primary care to capitated “bundles” – one for basic primary care services and a voluntary, supplemental payment for expanded activities such as infrastructure and HIT and…
Read MorePCMH+ update: discussions ongoing to fix problems
At yesterday’s MAPOC Care Management Committee meeting, DSS and Mercer reported on their plans for PCMH+, the controversial shared savings Medicaid program. A workgroup has been meeting at DSS to drill down on what didn’t work. DSS has lobbied the Governor to include a new Wave 3 to update the current program in his budget…
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