hospitals
COVID hit Medicaid hard
Medicaid members were about 33% more likely to be diagnosed with COVID than other Connecticut residents, according to CHNCT’s presentation Friday to the Medicaid oversight council. The average age of members with COVID was 52 years but ranged from newborn to 102 years old. Like the rest of the population, COVID hit Medicaid members with…
Read MoreUpdate: OHS committee slightly eases unrealistic cap for CT healthcare costs
In response to stakeholder concerns, at their July 29th meeting the Office of Health Strategy’s (OHS) Technical Team choosing the cap for future Connecticut healthcare costs eased their previous decision on how much healthcare costs for every state resident will be allowed to increase over the next five years. Many stakeholders have voiced concerns that…
Read MoreCost cap update – possible easing on growth cap but primary care target proves difficult
In response to concerns from many sources about potential harm to people, the Office of Health Strategy (OHS) is considering easing the proposed caps on the growth of all healthcare spending. In the latest Technical Team meeting, OHS and Bailit, the consultants running the project, said they would consider starting the cap next year higher…
Read MoreUnique hospital ranking includes community and value of care with traditional quality metrics
The Lown Institute now ranks hospitals on 53 metrics that impact both individuals and communities. Typical hospital rankings consider only care for individual patients, not how hospitals serve their communities. Backus does best among 26 Connecticut hospitals at 84th of 3,282 US hospitals; Greenwich ranks lowest in the state and 2,635th in the nation. There…
Read MoreCTNJ: COVID Response Offers Opportunities for Connecticut’s Future Healthcare System
The pandemic has been tragic in both lives lost and economic damage, especially to low wage workers. Our already flawed healthcare system has been seriously disrupted. Insurer profits are up, hospitals are losing money, and Connecticut healthcare jobs in April were down 28,400 from the year before. As the pandemic winds down, the recovery offers…
Read MoreFact Check: Do lower Medicaid provider payment rates cause higher commercial payment rates?
Download this Fact Check There’s a pervasive myth that lower Medicaid provider payment rates force providers to charge private insurers more to cover costs, but there is no evidence of that. On a simple level it makes some sense, but the truth is that providers, like most businesses, charge what they can, regardless of what…
Read MoreCT Medical Society signs on with state HIE that plans to sell medical records
The state’s controversial HIE signed up its first participating provider network. Thursday the Office of Health Strategy (OHS) announced that CT Health Link, run by the CT State Medical Society (CSMS), will “immediately begin the technical connections necessary” to allow access into their system. Advocates have been concerned about OHS’s plans to sell access to…
Read MoreCOVID hits hospital bottom lines but boosts insurer profits
Contrary to earlier concerns, it appears that health insurers are doing pretty well through the COVID pandemic. It appears the costs of treating people with the virus are more than offset by a 60% reduction in other medical care including elective surgeries, routine outpatient care and lower ED visits. The six largest insurers reported $8.6…
Read MoreHospitals question viability and policy in OHS plans to share medical records
It’s unusual when independent consumer advocates and hospitals are on the same page. In a strongly worded letter, the CT Hospital Association laid out serious problems with OHS’s proposed plan to share data in their controversial Health Information Exchange (HIE). Only some hospitals were given the opportunity to comment on OHS’s plans. Under law, all…
Read MoreCT hospitals would fare better than most if all payers used Medicare payment rates
A new study published in Health Affairs finds that if commercial payment rates were set at fee-for-service Medicare levels in 2017, US hospital revenue (inpatient and outpatient) would drop by 35%. Interestingly, also raising Medicaid rates to Medicare levels does little to mitigate that, changing the revenue loss to 30%. However, the authors note that…
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