CT Health Reform
CTNJ: CT uninsured rate up, especially for higher income households
New Census data on the uninsured is always a big event for policy types. This year most expected the numbers to rise, but the data had a surprise. Read more
Read MoreConnecticut’s uninsured rate up, reversing four-year trend
New numbers from the US Census Bureau report that 194,000 or 5.5% of Connecticut residents were uninsured last year. That number is up 22,000 from the year before when the uninsured rate was 4.9%. The new data breaks a trend of fewer uninsured that began with implementation of coverage expansions under the Affordable Care Act…
Read MoreCT uninsured numbers up breaking four year trend
The US Census estimates that last year 194,000 CT residents, 5.5% of us, were uninsured according to data released today. That is up 22,000 and 4.9% from the previous year’s estimate. This mirrors national trends with 715,000 more uninsured Americans last year than in 2016. Unfortunately CT lost more ground from 2016 to 2017, with…
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 MoreCT excels at getting Medicaid-eligible families enrolled
A new study finds that 96.3% of CT children eligible for HUSKY participated in the program in 2016; we are tied for seventh among states. The US average is 93.7% for all states; 94.9% for states, like CT, that expanded Medicaid under the Affordable Care Act. Even better, CT ranks fourth among states in enrolling…
Read MoreCTNJ: Capitation vs. fee for service: Which team are you on?
is a sharp divide within Connecticut’s healthcare community over how to pay for care that’s as fervent as the Yankees vs. Red Sox split. Some believe that capitation is the holy grail, but others believe that fee for service isn’t the problem and isn’t broken. Read more
Read MoreConnecticut Medicare ACOs overspent by $45 million in 2016
Data from CMS show that in 2016 Connecticut’s Accountable Care Organizations (ACOs) together spent $45 million more on care for Medicare beneficiaries above risk-adjusted benchmark spending levels. ACOs are networks of providers across the continuum that coordinate care for people and receive a share of the savings they generate. All of Connecticut’s Medicare ACOs only…
Read More31 ways to save on healthcare in Connecticut’s budget
Connecticut’s state budget is facing future deficits and health spending is a large share of the budget. The state now spends $3.8 billion between Medicaid and the state employee health plan to cover about a million state residents. Health care spending outside the state budget is also growing. Connecticut has the sixth highest per capita…
Read MoreMedicaid update: Quality was rising through 2016, raising concerns about PCMH+
Friday’s MAPOC meeting focused on Medicaid quality and access information from CHNCT, DSS’s administrative contractor for the program. Across the 12 (of over 100) quality measures chosen, there was modest but sustained improvement from 2014 through 2016. However community health center performance consistently lags behind other PMCH practices across the quality measures. Of particular concern…
Read MorePCMH+ update – DSS still plowing ahead despite lack of monitoring or evaluation
Despite DSS’s declaration that Wave 1 of PCMH Plus is a “substantial success”, there was nothing meaningful to support that view at MAPOC’s Care Management Committee meeting last week. Lacking information, DSS has rushed ahead anyway to significantly expand the program by 174%, raising enrollment from 66,325 to 181,902 this month. PCMH Plus is DSS’s…
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