Health Report Card
Book Club: Random Acts of Medicine
Deliberately randomized experiments in medicine and health policy are usually not possible, or even moral. But with increasingly available data and random changes in circumstances, natural experiments can teach us a great deal about what works and what doesn’t. Random events have a huge impact on our health, more than we’d like to acknowledge. Random…
Read MoreCT inflation adjusted RN and NP pay
Becker’s Hospital Review has calculated 2023/2024 hourly pay levels for Registered Nurses (RNs) and Nurse Practitioners (NPs) by state. Adjusted by the Cost of Living Index, Connecticut ranks 16th highest for RNs but only 33rd for NPs among states. Adjusted Connecticut rates are similar to comparable Northeastern states. Without adjustment for the cost of living,…
Read MoreCT 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…
Read MoreCT 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…
Read MoreStudy finds CT private healthcare payment rates more than double Medicare’s, close to US average
A new study by RAND analyzing provider payments rates for commercial plans finds Connecticut’s 2022 rates averaged two and half times (258%) what Medicare would’ve paid for the same services at the same hospital (Relative Price). There was little variation by overall type of services. However, individual Connecticut hospitals varied considerably in Relative Price. There…
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 MoreUS News: CT is 3rd best in US for healthcare
Based on surveys of state residents on their priorities for state government and health data, Connecticut is third best among states for healthcare, our highest ranking among categories. Healthcare was equally weighted between access (#3 among states), quality (#21), and public health (#6). The subtopics for each health category are: Access Quality Public health Adults…
Read MoreFrom 2011 to 2022, CT hospital budgets devoted 12% to administration labor and 30% to direct patient care labor
Download the brief Download the data Parsing the latest data from NASHP’s Hospital Cost Tool finds that in 2022, Connecticut’s acute care hospitals averaged almost 32% of their budgets on direct patient care labor and just under 12% on labor costs for administration, which includes management, administration, and payments to their larger health system (called…
Read MoreBook Club: Recoding America – Why Government is Failing in the Digital Age and How We Can Do Better
If you’ve ever muttered under your breath about the inefficiency/waste/frustration/etc of government at all levels, you have to read Recoding America – Why Government is Failing in the Digital Age and How We Can Do Better, by Jennifer Pahlka. I don’t think I’ve ever dogeared as many pages in a book. While the author explores…
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