CT Health Reform update – hospital consolidation delay allows breathing room but weak SIM proposal for Medicaid is troubling

The Governor’s Executive Order to delay approvals of large hospital consolidations leads the CT Health Reform Dashboardupdates this month. $185 million savings in the state’s share of Medicaid spending last year also leads the news. Medicaid redesign planning is still on track, working collaboratively with all voices at the table. However that good news was…

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Governor orders delay, time to study CON approvals for massive hospital mergers

Yesterday Governor Malloy issued an Executive Order halting state Certificate of Need approvals for hospital mergers that would cover more than 20% of total CT hospital spending until Jan. 15, 2017. The delay will allow for a “fair and through” review of the CON process by a new taskforce. Concerns about the current CON process…

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Fascinating Health Care Cabinet meeting on hospital markets, concentration, costs and the magic of VT

This week’s Health Care Cabinet meeting was fascinating. We first heard about the impact of hospital consolidations in CT. We heard a moving story about a Spanish-speaking woman suffering a mild stroke who had to be airlifted from Windham to Hartford because since Hartford Hospital’s acquisition of Windham Hospital, there is no longer a neurologist…

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Health care not immune from gender wage gap, but the size depends on your job

American women workers make 82.5 cents for every dollar men do, according to 2014 data from the US Bureau of Labor Statistics. However that ratio varies considerably by industry from 91.3 in construction to 56.7 cents in legal positions. In health care support positions, women so better than average American women but still 87.9% of…

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Hartford Business Journal 2016 economic outlook including health care

The Hartford Business Journal is looking ahead to next year for trends, predictions and stories to watch in CT’s economy. Health care contributors included Matt Katz of the CT State Medical Society, Elliot Joseph of Hartford Healthcare, John O’Connell of the CM Smith Agency and Ellen Andrews of the CT Health Policy Project. Trends included…

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Report details dangers of hospital consolidation, especially YNHH and L&M

A new report by a coalition of labor and consumer advocacy groups including the CT Health Policy Project, calls for caution and more study before the state approves pending hospital consolidations. Concentration in CT’s health care system is being driven by new, untested shared savings payment reform models being adopted in Medicare, Medicaid and private…

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Advocates’ guide to underservice recommendations

SIM is seeking to radically transform our state’s $30 billion health system and has chosen a shared savings payment model for those reforms. Advocates are concerned about incentives to deny necessary care under the new payment model, as happened in the past. SIM’s Equity and Access Council was charged with developing protections to limit and…

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87-page health bill goes to Governor’s desk

The House and Senate have passed SB-811, now on it’s way to the Governor. The bill includesprice and consumer cost notices and websites to help consumers shop for services, sets some limits on facility fees charged by hospitals and outpatient providers, adds to the factors and studies required in considering hospital purchases, and limits bills…

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Provider consolidation, facility fee forum testimony

At 2:30 today at the Legislative Office Building, the Office of State Comptroller will hold a forum and public hearing on increasing consolidation in CT’s health care system and the growing impact of facility fee charges. Invited speakers include hospitals and insurers. At 4pm the public will have a chance to comment. TheCT Health Policy…

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