January 2018 – Connecticut drops to a C this year for health reform

Connecticut health care thought leaders lowered our state to a C grade for health reform this year, matching the lowest grades in five years. No thoughtleader rated our state an A this year. Connecticut’s grade for effort also dropped in this survey, down to C+. Health policy areas that lost the most ground included Medicaid,…

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February 2017 – Connecticut hangs onto a C+ this year for health reform Mistrust is serious and pervasive

Connecticut health care thought leaders again gave our state a C+ grade for health reform last month, but our GPA dropped from 2.4 to 2.2. Connecticut’s grade for effort didn’t change from last year still at a B-/C+ (GPA 2.5) in this survey. Connecticut continues to earn higher marks for Medicaid and the health insurance…

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November CT Health Reform Dashboard – status quo, again and again and again

  Like the last two months, November’s CT’s Health Reform Dashboardhas changed little. Growing and understandable mistrust remains at the core of problems in CT. Medicaid policy development and implementation is still mired in mistrust, incomprehensible and misleading consumer “notices”, rushing ahead without data, quality problems, and a lack of transparency while state officials refuse…

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September CT Health Reform Dashboard – little changing, and that’s not good

CT’s September Health Reform Dashboard update is about the same as last month. Medicaid policy development and implementation is still mired in mistrust, rushing ahead without data, quality problems, and a lack of transparency while state officials refuse to answer questions. Thankfully physicians and others are taking the reins and building a badly needed health…

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August CT Health Reform Dashboard – Medicaid concerns grow but continuing hope for drug costs

CT’s August Health Reform Dashboardremains mixed. Medicaid policy development and implementation remains mired in mistrust, rushing ahead without data, quality problems, and a lack of transparency while state officials refuse to answer questions. The new state HIT plan is travelling the same troubled path from the past but thankfully physicians and others are just getting…

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Pervasive uncertainty affects CT Health Reform Dashboard

July’s CT Health Reform Dashboard reflects growing uncertainty at the state and federal levels. If passed, Congressional proposals to replace the ACA will shift massive costs onto CT and result in a sharp drop in coverage. State budget cuts threaten current services and coverage. Nevertheless, DSS is doggedly forging ahead with a questionable payment experiment…

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June CT Health Reform Dashboard – concerns remain but some hope for drug costs

CT’s June Health Reform Dashboard remains unsettled. Mistrust remains at the core of problems in CT. The new state HIT environmental scan mentions the need for trust a dozen times.  Medicaid policy development and implementation remains mired in mistrust, rushing ahead without data, and a lack of transparency. The state budget remains dreary and signals…

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May CT Health Reform Dashboard – Medicaid U turn, federal relief premature

CT’s May Health Reform Dashboard is unsettled again. Mistrust remains at the core of problems in CT. Medicaid policy development and implementation have taken a very disappointing turn away from collaboration, transparency, and data for reasons that don’t make any sense (there are a few theories). Just a few of the persistent problems in PCMH+,…

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April CT Health Reform Dashboard – temporary relief at federal level but troubling payment model returns (again and again and again)

CT’s April Health Reform Dashboard is somewhat more settled than last month – but that’s not a good thing. Efforts to repeal and replace the Affordable Care Act, plus cap Medicaid spending, were temporarily suspended, but are moving again at the federal level in the House. Despite the repeated lessons of history in CT, proponents…

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Health reform dashboard reflects uncertainty, good and bad trends

March’s CT Health Reform Dashboard update reflects good, bad and uncertain policy movement in CT and DC. Most troubling is the level of mistrust among stakeholders in our state’s health system first recognized formally by out-of-state consultants to the Health Care Cabinet. This problem undermines even well-intentioned efforts to make progress, that otherwise would receive…

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