healthcare markets
Analysis: Hartford HealthCare Settlement with St. Francis Still Leaves Two Important Class Action Suits Active
CT News Junkie reports that St. Francis Hospital and Medical Center has reached a settlement with Hartford HealthCare in their lawsuit alleging unfair business practices. It’s good that St. Francis’s complaints as a competitor have been addressed, but the concerns of consumers and payers are still outstanding in two class action lawsuits against Hartford HealthCare.…
Read MoreAnalysis: Despite the name, value is not the solution for raging healthcare costs
The murder of a United health executive has intensified very strong reactions to America’s broken healthcare system. Unfortunately, too many opportunists are using this tragedy to push a tired, failed agenda – value-based care and its corollary, Accountable Care Organizations (ACOs). Read more
Read MoreICER’s 4th annual report finds progress in fair access to prescription drugs
Over the last four years, barriers facing patients getting access to cost effective drugs in commercial plans and the Veteran’s Administration have gotten better, according to ICER’s fourth annual Barriers to Fair Access report. The authors compare plan policies, including cost sharing, clinical eligibility, step therapy and provider restrictions, to independent standards for fair access…
Read MoreReport finds growing number of drug prices rising without merit
Half of the ten fastest-rising drug prices without any evidence of improved value last year, according to the latest report from ICER. This is the highest percentage of unsupported prescription drug prices since ICER began this report in 2019. The increased prices rose far faster than inflation for the rest of the economy. Just the…
Read MoreAnalysis: How Trump’s Election Could Impact Healthcare in Connecticut
Health policy circles are buzzing with potential policy changes under the second Trump administration. Last time, Trump proposed significant cuts and administrative burdens for Medicaid, which covers 934,043 low-income Connecticut residents. That makes this a very bad time to be considering bringing the failed private Managed Care Organizations (MCOs) back into the program. Other significant…
Read MoreBook Club: Revenge of the Tipping Point
Malcolm Gladwell revisits his 2006 classic in the new Revenge of the Tipping Point: Overstories, Superspreaders, and the Rise of Social Engineering. He expands and updates the original premise – that ideas and trends grow slowly, like a pandemic, until they hit a point where they go viral and radically change the context around the…
Read MoreAnalysis: The uninsured are still with us
September used to be a key month for policy wonks. We all eagerly awaited new Census numbers of the uninsured. But since passage of the Affordable Care Act (ACA), there is less attention to the uninsured. There is a sense that we are past the problem of people without coverage. But the latest Census numbers…
Read MoreMore updates to CT Healthcare Explained
We are continuing to update chapters in CT Healthcare Explained. This month we finished a complete overhaul of the Hospitals chapter. Last month we finished Consolidation and big health systems. Next is Quality. Connecticut’s healthcare system is deeply confusing. Too often people motivated to advocate for change find themselves frustrated and give up. To help…
Read MoreSix common myths about healthcare and three reasons why people believe them
Healthcare is complicated, people are easily confused, and there are powerful motivations to believe the many misconceptions. I was reminded of this at the last meeting of the industry-led group that is steering the state’s efforts to control healthcare costs. But the problem isn’t limited to industry representatives. Read more
Read MoreCT Mirror Opinion: Keep MCOs out of HUSKY health care
“In the past, managed care organizations were a disaster for Connecticut’s Medicaid program“ Former legislator, Medicaid provider, member of Medicaid’s state oversight council, and champion for member access to care who lived through the MCO years, Vickie Nardello says, “ I strongly disagree with Gov. Ned Lamont’s plan to bring managed care organizations (MCOs) back…
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