Most CT physicians take Medicare patients, but less than US average; implications for payment reform

At 84%, the large majority of physicians in Connecticut take new Medicare patients according to a new analysis by the Kaiser Family Foundation, while 91% take new privately insured patients. The US averages are 89% for Medicare and 91% for privately insured new patients. The analysis was of non-pediatric, office-based physicians in 2015 and 2017.…

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CTNJ Op-Ed — Policymakers did little to lower healthcare costs this session

Healthcare costs featured prominently in CT News Junkie’s 2020 candidates’ survey. It’s very likely that candidates will hear the same concerns from voters again this year. Last year, policymakers accomplished little, and healthcare costs haven’t gotten any better since then. Incumbents will be asked what they did this year to provide some relief. Unfortunately, they…

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CT hospital ownership change rate among highest in US

Over 10% of hospitals in Connecticut changed ownership between 2016 and 2021, according to a federal report using new CMS data. Connecticut and just three other states had hospital ownership change rates over 10%. Most states had rates of 4% or less. Understanding hospital ownership changes and rates of change to identify consolidation in healthcare…

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Good News — Senate passed SB-416 to lower healthcare prices

On Wednesday, the Senate voted 29 to 4 to pass SB-416, An Act Promoting Competition in Contracts Between Health Carriers and Health Providers, without amendments. The bill passed out of the insurance committee unanimously and received overwhelmingly positive feedback in the public hearing. Two lawsuits have been filed against Hartford Healthcare for anti-competitive conduct, driving up…

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Book Club: The Long Fix

I’ve been avoiding reading The Long Fix: Solving America’s Health Crisis with Strategies that Work for Everyone by Vivian Lee. But this semester, one of my students asked if she could read it for her Book Review assignment. I couldn’t really refuse, so I had to read it too. The author, a physician and healthcare…

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CTNJ: Fact Check Shows That Raising Primary Care Spending Doesn’t Lower Total Healthcare Costs

The Office of Health Strategy and their consultants have asserted that it is critical to double spending on primary care in Connecticut to lower skyrocketing  total healthcare costs. It’s very appealing to think that increasing investments in prevention and care management will reduce total costs. It avoids the difficult work of getting large health systems…

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Why is healthcare like this?

Healthcare is complicated. It often doesn’t make sense – to consumers, patients, students, policymakers, providers, administrators, and everyone else. The lack of understanding has discouraged people from engaging and slowed progress toward real reform. We’ve heard from people across the continuum that there is no place to find balanced, comprehensive answers that is understandable and…

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Legislators hear diverse voices favoring competition to control healthcare costs

Update 3/22/2022 — SB-416 passed the Insurance and Real Estate Committee unanimously. Twenty-one organizations and state residents testified in favor of SB-416 in Thursday’s Insurance and Real Estate Committee public hearing. Just three testified against. SB-416 would level the playing field in Connecticut’s healthcare market by prohibiting anti-competitive contract clauses used by large health systems…

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Testimony: Consolidation’s harms to stressed healthcare workers

From Haley Magnetta, fellow at CT Health Policy Project, written testimony in support of SB-417, An Act Promoting Competition in Contracts Between Health Carriers and Health Care Providers I am testifying as a clinically practicing Emergency Medicine Physician Assistant (PA). As a provider who has worked in hospitals that have been consolidated, I want to…

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Fact Check: Does OHS’s Primary Care Roadmap include capitation? Yes, 31 times

In the Insurance Committee’s March 1st public hearing on HB-5042, advocates stated that the Office of Health Strategy’s Primary Care Roadmap plan, authorized in the bill, includes capitation as the payment model. Primary care capitation has failed in Medicare despite significant investment and multiple trials. Advocates are concerned that, if implemented, the Roadmap would divert…

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