CT Health Reform
CTNJ 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…
Read MoreCTNJ: Healthcare questions for Connecticut’s Next Governor
How will Connecticut’s next governor fix the state’s healthcare system? It’s a big job but they will have a lot more leverage and power than many appreciate. Read more
Read MoreACA Medicaid expansion benefits to CT include fewer uninsured, lower ED use, access to behavioral healthcare
A new analysis by the CT Health Foundation outlines the “unqualified success” of CT’s HUSKY expansion. In 2010 CT was the first state to exercise the Affordable Care Act option to expand Medicaid to low income, childless adults, labelling the new population HUSKY Part D. The expansion was largely responsible for cutting CT’s uninsured rate…
Read MoreCalls needed to save healthcare for 13,000 working parents
Unless legislators act soon, 13,000 working parents will lose HUSKY coverage this coming January 1st. Sally Grossman, one of those parents with two small children, runs her own house painting business. According to Sally, “Every year I do a little better. But if I earn over $28,000, I lose my health insurance.” Click here for…
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