Fact Check
Analysis: Why most other states use Medicaid MCOs and why CT doesn’t
A question has been posed to opponents of MCOs in Connecticut’s Medicaid program. Under the Rowland administration, Connecticut started using Medicaid MCOs, but we removed them in 2012 because they weren’t performing. Advocates are strongly opposed to using MCOs in HUSKY. But if they’re so terrible, why do 40 other states use MCOs to run…
Read MoreMedicaid MCOs and quality, access – What the evidence says
Go to the full report Governor Lamont is reportedly considering a plan to have private insurance managed care plans (MCOs) run Connecticut’s Medicaid program. Do MCOs improve quality or access to care in state Medicaid programs? We looked into the evidence. In a word, No. From the literature: The evidence does not support Medicaid MCOs…
Read MoreMedicaid MCOs and cost savings – What the evidence says
Go to the full report Governor Lamont is reportedly considering a plan to have private insurance managed care plans (MCOs) run Connecticut’s Medicaid program. Do MCOs save states money in state Medicaid programs? We looked into the evidence. In a word, No. From the literature: The evidence does not support Medicaid managed care saving money…
Read MoreBook Club – Super Forecasting: The Art and Science of Predicting
The title makes a big promise, but this book delivers. The book starts with examples through history of “experts” who were followed, even when evidence they were wrong was obvious. Healthcare is full of these examples, and the authors cite a few. In 2005, Phillip Tetlock published a very large 20-year study measuring the accuracy…
Read MoreCT again among healthiest states overall, but with big areas of concern
Connecticut ranked 4th healthiest among states in this year’s America’s Health Ranking, from the United Health Foundation. We were the best state in climate policies, childhood immunizations, and adult dental visits. But we were in the bottom on other indicators. Connecticut is in a very healthy region of the US, with New Hampshire (#1), Massachusetts…
Read MoreICER seeking nominations for New England evidence review council
The Institute for Economic and Clinical Review (ICER) is seeking nominations for new members to the New England Comparative Effectiveness Public Advisory Council (New England CEPAC). In my time on the New England CEPAC, it was an exciting dive into learning new things with a team of exceptional experts and colleagues from across the region.…
Read MoreAnalysis: How Brain Shortcuts Undermine Policymaking
Thinking is hard work. Adult brains are only 2% of our body weight, but they use 20% of our body’s energy. To handle the load, we have evolved hard-wired shortcuts called cognitive biases that sometimes backfire. Public policymaking is not immune – it’s riddled with biases that are driving poor decisions. Read more
Read MoreBook Club — The Data Detective
The Data Detective: Ten Easy Rules to Make Sense of Statistics follows on the Book Club’s obsession with statistics and good data analysis (here, here, here, and here). Good policy rests on good evidence. There are good sources, including the books linked above, that uncover misleading information, with clues to identify them, and that’s important.…
Read MorePrimary care spending boost and capitation didn’t work in private plans either
The big idea circulating in some CT health policy circles to control the costs of healthcare is to boost primary care with tons of money and capitate provider payments. Primary care is regular health care for prevention, like check-ups, and common health problems. A new study finds that the idea failed in private insurance, as…
Read MoreOP-ED: Be careful in making changes when the glass is half full
There is good news on Connecticut health spending – and we can use it. Analysis of new data has found, not surprisingly, that Connecticut residents spend a lot on healthcare. But the good news is that our average annual rate of growth, at 1.8%, was the ninth lowest among states from 2013 to 2019. We…
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