Cost Cap project could reduce access to care, stifle efficiency and innovation, and increase disparities

Download the Summary or Full Report Healthcare costs a lot in Connecticut, especially for middle and lower income residents. Primary care is the foundation of a healthy health system. Lowering costs and supporting primary care are important goals, however the Office of Health Strategy’s (OHS) new plan to limit costs is ill-conceived and likely to…

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Advocates, providers send Governor, legislators letter about cost cap impact and unintended consequences

Yesterday, twenty advocates and providers sent letters to the Governor and legislative leaders objecting to the rush to develop a cap on healthcare cost increases during a pandemic, and to use the time to incorporate input from diverse stakeholders and for thoughtful design with a broad group chosen democratically. “This controversial proposal, if rushed ahead…

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Protecting affordability in a pandemic — Experts find fair prices for remdesivir between $10 and $4,500

In a nation hungry for good news in fighting the COVID-19 pandemic, remdesivir has emerged as a first ray of hope. The FDA has quickly approved the drug for emergency use with seriously ill patients. However there are concerns that the data supporting remdesivir’s effectiveness has not been published or peer reviewed by independent scientists…

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CTNJ: Forecast Estimates More Than 100,000 New CT Medicaid Members

According to modeling by Health Management Associates, the COVID-19 pandemic could raise Connecticut’s Medicaid rolls 15% to 32% by mid-2020, depending on how much unemployment grows. Connecticut residents with employer-sponsored coverage could drop by 130,000 to 382,000 and Access Health CT coverage could grow by 8,000 to 33,000. Uninsured could rise by 77,000. Read more

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CTNJ: Analysis — Will COVID-19 Make Health Insurance Premiums Skyrocket?

Not necessarily. COVID-19 could cost the US between $34 billion and $251 billion for testing, treatment and care. Some analysts have predicted that premiums will rise between 4% and 40% next year because of the pandemic. Because consumers, taxpayers and workers ultimately pay the bills, from our taxes, our lost wages, our premiums, and directly…

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CTNJ: The recession is here, and healthcare is in the center of it

After the longest economic recovery in US history, we’ve been expecting a recession for a long time. We knew when it came, Connecticut healthcare would be hit hard. But no one expected this. Connecticut didn’t fare well in the last recession and we took longer than other states to build back the jobs we lost.…

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New state health data updates – over one in six CT residents have high medical cost burden

According to State Health Compare’s updated data, 18.1% of Connecticut residents had out-of-pocket health costs that were more than 10% of their family income in 2018. That is up from 17.8% the year before while the burden on the rest of the US went down. While Connecticut’s rate is bad, it’s better than the US…

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Medicaid switch from MCOs saving taxpayers billions

Download the brief here If Medicaid per member per month costs had held steady at 2012 levels, taxpayers would have spent $2.25 billion more by last year. As with most health care in Connecticut, Medicaid spending was rising quickly before 2012 growing by almost half over the prior four years. But in 2012, Connecticut made…

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CTNJ – Op-Ed: The Individual Mandate Was Never Necessary, But Connecticut Knew That

Arguably the most contentious part of the Affordable Care Act (ACA), the individual mandate, requiring every American to secure healthcare coverage, appears to have made little difference since Congress removed the penalty last year. Connecticut considered passing a state-level individual mandate both before the ACA and more recently as the ACA has been in peril.…

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Five healthcare issues to follow in 2020

What Connecticut can do in an election year, with a tight budget, in an unsettled economy, and Washington in gridlock Download the details ACOs and provider financial risk Accountable Care Organizations (ACOs) are large and growing systems that touch every aspect of healthcare. They make money by reducing their patients’ care costs. Unlike insurers, ACOs…

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