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…

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Good and bad news in CT hospital fair share spending

US non-profit hospitals receive federal, state, and local tax breaks totaling tens of billions of dollars. Taxpayers must pay more to cover those losses. In exchange, hospitals are expected to devote resources to improving their community’s health. Nonprofit hospitals must report their community benefit spending to the IRS. The Lown Institute has published their 2024…

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CT Mirror Viewpoint: Husky MCOs would harm access to mental health care

A new CT Mirror Viewpoint from a HUSKY mental health provider describes why the Governor’s idea to bring managed care back would drive more providers from the program. Demand for mental health care has never been higher and is a serious concern for HUSKY. Donna Nicolino is a trauma specialist participating in both Connecticut’s non-MCO…

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Book Club: Risky Business—Why Insurance Markets Fail And What to Do About It

I thought I knew a lot about how insurance markets work (and don’t), but I learned more than I expected from Risky Business—Why Insurance Markets Fail And What to Do About It by Liran Einav, Amy Finkelstein, and Ray Fishman. Adverse selection (commonly called cherry picking) is a double-edged problem. I knew about insurers’ schemes…

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CT Medicaid compared to other states –  What the evidence says

Download the report Governor Lamont is reportedly considering a plan to have private insurance managed care plans (MCOs) run Connecticut’s Medicaid program. From 1996 through 2011, Connecticut Medicaid was run by MCOs, and it was deeply troubled. The program ended under pressure from advocates, providers, and legislators. Since the MCOs left Connecticut Medicaid, access and…

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CT gets a D- for maternal mental health

Connecticut is failing mothers in protecting their mental health, according to the Policy Center for Maternal Mental Health. We aren’t alone – 28 other states received a D or F on maternal mental health (MMH).  The US overall received a D+ grade. We got an F on providers and programs – including seven metrics such…

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Medicaid 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…

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Medicaid 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…

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NoHuskyMCOs – New resource to preserve Medicaid success

Go to NoHuskyMCOs.org for up to date information on plans to return control of Connecticut’s Medicaid program to private insurance company managed care plans (MCOs). From 1996 through 2011, Connecticut Medicaid was run by MCOs, and it was deeply troubled. The program ended under pressure from advocates, providers, and legislators. Since the MCOs left Connecticut…

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