CT Health Reform
GAO reports find individual insurance markets concentrated in most states in 2014, but largest in CT losing market share
Recent news about insurers leaving AccessHealthCT, CT’s health insurance exchange, have raised concerns about lowering competition and rising prices for health insurance. CT is not alone. Prior to 2014 health insurance markets in most states were highly concentrated, according to the US General Accounting Office. However, the largest individual coverage insurer in CT, Anthem/Wellpoint, has…
Read MoreCT Health Reform Dashboard – Cabinet reform proposal concerns, Medicaid evaluation affirmed
September’s CT Health Reform Dashboard update reflects the controversy surrounding the Health Care Cabinet’s ambitious and controversial proposal for state health reform. But in good news, DSS and the advocates’ call for a proper evaluation of Medicaid reform, and using it to improve and adjust the program, have been affirmed. Concerns about SIM ethics and…
Read MoreReform is hard and Econ 101 doesn’t work
An article published today in the New England Journal of Medicine highlights the challenges in health reform and why the usual, simple fixes aren’t working. The article by Richard Bohmer, The Hard Work of Health Care Transformation, explains why changing financial incentives or governance structures aren’t sufficient to effect change. The status quo is very…
Read MoreCT Health Reform Dashboard – SIM ethics problems growing, hospital mergers threaten
August’s CT Health Reform Dashboardupdate is again very active – and not in a good way. Thousands of working HUSKY parents lost coverage this week. SIM ethics problems continue to plague reform efforts. Efforts to bypass DSS’s prudent evaluation of the new, untested, very ambitious Medicaid reform plan are disturbing. Consultants for the Health Care…
Read MoreHealth Care Cabinet starts work on recommendations for reform
Yesterday the Health Care Cabinet gave consultants initial feedback on their “straw man” recommendations to improve health care and control costs in CT. The Cabinet has spent the last several months exploring leading state reforms preparing for our December report to the General Assembly. Members expressed concerns about the proposed consolidation of all state health…
Read MoreCT Health Reform Dashboard – SIM ethics problems grow, an insurer lost, HUSKY parents losing coverage
July’s CT Health Reform Dashboard update is very active. SIM ethics problems are back in the news, with the death of a bill that would have closed the legal loophole that exempts SIM appointees. The state insurance department has suspended HealthyCT, our state’s only non-profit, homegrown insurer. This is troubling on many levels including reducing…
Read MoreMedicaid reform application released – good interest at bidder’s conference
CT Medicaid’s plan for payment reform marked a milestone last week with release of the RFPfor provider networks and community health centers to participate. Most of the independent consumer advocates’ Medicaid Study Group recommendations are included, but not all. Pros include protective attribution, no downside risk, smart quality incentives to reward improvement, re-investing savings in…
Read MoreHealthcare Cabinet sets state agency context for recommendations
At yesterday’s meeting, the Healthcare Cabinet heard from ten state agencies that all touch on health. They were asked to report on how they were saving money, improving the quality of care, and innovating to improve the health of state residents. DSS got twice as much time as everyone else, with good reason. Among the…
Read MoreCT Health Reform Dashboard – lots of uncertainty, hard work ahead
Summer used to come with down time, but June’s CT Health Reform Dashboard update is anything but quiet. 17,688 HUSKY parents are scheduled to lose coverage at the end of next month. Serious concerns have been raised about the notices to members that miss critical information to help them plan for their health. Based on…
Read MoreCT Health Care Cabinet considers WA reform strategies, CT stakeholder input
At last week’s meeting, the Health Care Cabinet heard about lessons from Washington state’s successful reforms. Washington has consolidated health care planning across both the public and private sectors. The structure isn’t the key – what’s surprising is that they can get to a thoughtful consensus through power-sharing. Like many states, they are working on…
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