VT rejects troubling federal AHEAD changes, CT still considering it

Vermont, one of the first two states scheduled to implement the federal AHEAD model has withdrawn from the program. State officials stated, “Vermont originally pursued the model when it was launched in 2023 as an opportunity to strengthen our health care systems. However, new policy and operational guidance to bring Vermont in alignment with other…

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Public comment posted on Medicaid work reporting requirement rule

Today, the CT Health Policy Project submitted public comment on the federal proposed rule to implement Medicaid work reporting requirements. We are concerned about the rule for several reasons. Many thanks to Health Equity Solutions and Connecticut’s legal aid programs for assistance with drafting these comments. For more on the work requirements, see our updated…

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Analysis: Questions missing in the Lamont-Elliot debate

In Wednesday’s debate, the only one we’ll get, between Connecticut’s Democratic candidates for Governor, there were no questions about healthcare. None. Affordability is a top priority for voters, and the staggering cost of healthcare is a big part of their anxiety. These are some questions I would’ve asked, and I’ll even give the candidates my…

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CT Medicaid Home & Community Services spending up, but that’s what we want

Read the report Recently, Connecticut Medicaid per member costs have grown significantly while enrollment is easing, according to the latest state financial report. Since switching from managed care organizations in 2012 to focus on care management, Connecticut Medicaid spending had stabilized while enrollment expanded significantly. With COVID, enrollment grew and per member costs dropped. Post-COVID…

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CT joins 24 other states suing CMS over Medicaid work requirements

Twenty five states, including Connecticut, and the District of Columbia, have filed a lawsuit againstagainst the federal Medicaid administration (CMS) for going beyond the language of the law (HR-1) that imposed work requirements on 300,000 HUSKY Part D members. Medicaid provides healthcare coverage to Connecticut’s most fragile residents, easing both health and economic frailty. That’s…

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Updated again: HUSKY and work requirements – Incorporating the new federal rule

Updated June 30, 2026 to include states’ lawsuit Download the update corrected version with revisions highlighted Download a clean version of the update To incorporate new federal regulations, we’ve again updated our paper with recommendations for implementing federal changes and cuts to Connecticut’s Medicaid program that become effective January 1st of next year. This version…

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CTNJ: Federal Medicaid Rule Hard For Caregivers, Worse For Their Frail Patients

The 387-page regulations came out earlier this month, telling states how to implement the scary, new federal Medicaid work requirements. The regulations came with both a curious contradiction and a surprise for states that had been working with federal regulators. The new regulations on who is exempted from work requirements to keep their healthcare coverage…

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Hospital chapter in CT Healthcare Explained updated

We’ve updated the Hospitals chapter of CT Healthcare Explained. The update was prompted by new numbers and new topics, including potential impact of federal Medicaid cuts, payment rates, Medicaid rates, and private equity . CT Healthcare Explained is our explainer website cutting through the complexities of our state’s healthcare system. Like the other 17 topic…

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One in ten CT adults forgo needed medical care due to cost, HR-1 likely to increase that rate

In 2024, 9.9% of adults in Connecticut missed needed care because of cost in 2024, according to an analysis of SHADAC data. That’s better than the US average at 12.4%. Both had been dropping as the number of uninsured fell but began rising again after COVID. Medical inflation has grown faster than general inflation since…

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Nebraska starts Medicaid work requirements tomorrow — Lessons for CT

Download this article Advocates, providers, and Medicaid agencies are watching Nebraska this week as they launch work requirements in their Medicaid program. States have been working to implement the complex, federally mandated requirements passed last summer in HR-1, the One Big Beautiful Bill Act. Previous efforts in Arkansas and Georgia failed badly. Unfortunately, while the…

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