CT Health Reform
Just a sample of Trump healthcare news
I’ve been avoiding writing about the impact of the Trump administration’s policies on healthcare. It’s overwhelming and it changes daily. But waiting for it to settle out isn’t working. It’s time to dig in. Reporters, in Connecticut and nationally, are doing an exceptional job of documenting this as it happens. Here are a small sample…
Read MoreReform section updated in CT Healthcare Explained
We’ve updated the Reform chapter of CT Healthcare Explained, our explainer website cutting through the complexities of our state’s healthcare system. Like the other 17 topic sections, Reform includes a Basics summary and a much longer Deeper Dive into the issue. In the left hand box, you can skip to your specific question. There is…
Read MoreCTNJ Analysis: It’s Time To End HUSKY’s ‘Value-Based’ Medicaid Program
Connecticut’s Person-Centered Medical Home (PCMH) Plus program has been troubled from its start in 2017, and it’s time to go in a new direction. Read more
Read MoreHUSKY still very efficient but drugs are driving up costs
Read the full report Like other states, Connecticut Medicaid per member costs are beginning to increase after dropping during COVID. However, Connecticut’s rate trend remains better than other states. Since switching from managed care organizations in 2012 to focus on care management, Connecticut Medicaid spending stabilized while enrollment expanded significantly, according to the state’s latest…
Read MoreDSS’s comprehensive HUSKY report finds a very strong program, with plans to improve
In response to 2023 legislation, on Tuesday DSS provided a 72-page comprehensive description and analysis of Connecticut’s Medicaid program to MAPOC, the program’s oversight council. The report also includes DSS’s strategy to improve the program and members’ health. The report finds that the program’s performance is very strong. “Overall, the Medicaid program achieves good quality…
Read MoreAnalysis: Trump order jeopardizes cost effective, life-changing cure for sickle cell
We are lucky to live in a time when creative scientists are developing life-changing new cures for debilitating genetic diseases. These breakthrough treatments are as important as penicillin or insulin were in their time. Unfortunately, they are also very expensive. To help pay for them, federal Medicaid officials created an opportunity to help states afford…
Read MoreAnalysis: Hartford HealthCare Settlement with St. Francis Still Leaves Two Important Class Action Suits Active
CT News Junkie reports that St. Francis Hospital and Medical Center has reached a settlement with Hartford HealthCare in their lawsuit alleging unfair business practices. It’s good that St. Francis’s complaints as a competitor have been addressed, but the concerns of consumers and payers are still outstanding in two class action lawsuits against Hartford HealthCare.…
Read MoreAnalysis: Despite the name, value is not the solution for raging healthcare costs
The murder of a United health executive has intensified very strong reactions to America’s broken healthcare system. Unfortunately, too many opportunists are using this tragedy to push a tired, failed agenda – value-based care and its corollary, Accountable Care Organizations (ACOs). Read more
Read MoreWandering around in OHS’s databases – lots to learn and a surprise
Our state Office of Health Strategy has several impressive portals and dashboards to explore their trove of data and other information. They include healthcare affordability, ED visits, quality ratings, facility plans, self-sufficiency tools, hospital finances, prescription drug costs, and Race, ethnicity and language data. Visitors can sort the data by service, payer, age, gender, and…
Read MoreMore questions and answers on DSS’s plan for HUSKY maternity bundles
Read the new questions and answers DSS is planning to move Medicaid payments for maternity services from the current fee-for-service arrangement to a per-person bundled payment. They will also expand services to include doula and lactation supports. However, advocates have asked questions and raised concerns about unintended consequences when providers make more money by reducing…
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