Half of Americans concerned about bankruptcy from a health event

A new Gallup poll from July finds that 50% of Americans were concerned that a health event in their household will result in bankruptcy. That is up from 45% last year. Concern is far higher among non-white than white adults (64% vs. 43%). One in seven American households (15%) has medical debt that they will…

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Book Club: Deaths of Despair and the Future of Capitalism

By Anne Case and Angus Deaton Reversing a century of progress, life expectancy has fallen for three years in a row but only in the US. Rising rates of suicide, drug overdoses and alcoholism are largely to blame. There were early media reports about the trend, but this detailed yet readable book goes much farther.…

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Update: OHS committee slightly eases unrealistic cap for CT healthcare costs

In response to stakeholder concerns, at their July 29th meeting the Office of Health Strategy’s (OHS) Technical Team choosing the cap for future Connecticut healthcare costs eased their previous decision on how much healthcare costs for every state resident will be allowed to increase over the next five years. Many stakeholders have voiced concerns that…

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Cost Cap project could reduce access to care, stifle efficiency and innovation, and increase disparities

Download the Summary or Full Report Healthcare costs a lot in Connecticut, especially for middle and lower income residents. Primary care is the foundation of a healthy health system. Lowering costs and supporting primary care are important goals, however the Office of Health Strategy’s (OHS) new plan to limit costs is ill-conceived and likely to…

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Protecting affordability in a pandemic — Experts find fair prices for remdesivir between $10 and $4,500

In a nation hungry for good news in fighting the COVID-19 pandemic, remdesivir has emerged as a first ray of hope. The FDA has quickly approved the drug for emergency use with seriously ill patients. However there are concerns that the data supporting remdesivir’s effectiveness has not been published or peer reviewed by independent scientists…

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Words matter – Unintended consequences of rush for COVID-19 treatment and poor communication

Scientists are under great pressure, internal and external, to find successful treatments for people seriously ill with the new coronavirus. Scientists are heroes, working with exceptional “vigor and speed” to find options. Unfortunately, sometimes that pressure results in early results being misunderstood and misused. Research conducted during a pandemic is not optimal for rigorous science…

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ICER and Donaghue Foundation highlight the power of patient engagement in assessing value; ICER to report on novel opioid addiction interventions

Steve Pearson, President of the Institute for Clinical and Economic Review (ICER), has published two pieces for Connecticut’s Donaghue Foundation Soapbox on the importance of meaningful patient engagement in value assessments and an exciting new initiative to move beyond the usual rhetoric and integrate patient priorities into the value assessment outcomes. Patients are usually left…

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US overdose deaths down but no change for Connecticut

Americans’ life expectancy increased in 2018 for the first time since 2014. From 2014 through 2017, life expectancy fell 0.3 years, twice as much for American men as women.  The drop was largely attributed to the sharp rise in overdose deaths during those years. Nationally, overdose deaths fell from 21.7 to 20.7 per 100,000 population…

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Evidence that children with private or Medicaid coverage both at risk of low-value care

A new study finds that both Medicaid and privately insured children frequently receive healthcare services that do not improve health. There has been an assumption that because providers are paid less by Medicaid, they have no incentive to provide unnecessary services. The study, published in Pediatrics, analyzed records from almost 7 million American children in…

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CT state budget spends less on Medicaid than other states, saving $209 million

The latest MACStats data release repeated trends from years ago but held a few new nuggets. Last July 857,415, or one in four, Connecticut residents were covered by Medicaid. Connecticut spent 14.9% of our state budget on Medicaid, below the US average of 16%. Our surrounding states were all above the US average — Massachusetts…

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