Community health center quality behind the rest of Medicaid

Download the report The good news is that Medicaid health outcome quality measures generally improved in all practice setting from 2016 through 2018. Unfortunately, community health centers (FQHCs) are not doing as well as their counterparts, either other Patient-Centered Medical Home practices (PCMHs), or non-PCMH practices in serving Medicaid members. This data comes from CHNCT’s…

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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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Evidence that children with private or Medicaid coverage both at risk of low-value care

A new study finds that both Medicaid and privately insured children frequently receive healthcare services that do not improve health. There has been an assumption that because providers are paid less by Medicaid, they have no incentive to provide unnecessary services. The study, published in Pediatrics, analyzed records from almost 7 million American children in…

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PCMH (no Plus) program continues to grow and improve care

At MAPOC’s Care Management Committee meeting Wednesday, the state provided the latest numbers from the successful Person-Centered Medical Home program. PCMHs are primary care practices that coordinate care for patients, offer expanded hours, and address population health needs. The program continues to grow, adding 52 primary care providers and seven new sites of care in…

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CTNJ Op-Ed: Connecting hospitals with community services is a good first step

It’s great that Connecticut hospitals are using technology to help busy providers connect patients with community services. Without basics like healthy food and safe shelter, patients can’t heal and healthcare costs rise. But referrals are only the first step. The institutions in communities on the other end of the referrals that provide those critical services…

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CT state budget spends less on Medicaid than other states, saving $209 million

The latest MACStats data release repeated trends from years ago but held a few new nuggets. Last July 857,415, or one in four, Connecticut residents were covered by Medicaid. Connecticut spent 14.9% of our state budget on Medicaid, below the US average of 16%. Our surrounding states were all above the US average — Massachusetts…

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Survey finds CT ACOs planning services for high need members

Similar to national results, a new survey of Connecticut Accountable Care Organizations for MAPOC’s Complex Care Committee by the CT Health Policy Project finds that most are using multiple methods to identify high need members. But they are still working on implementing effective programs to address the needs. Many of their plans follow best practices…

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Bipartisan Insurance Committee forum finds a lot of consensus on potential reforms

Download the CTHPP presentation Yesterday the Chairs and Ranking Members of the Insurance Committee convened a forum on potential reforms to lower healthcare costs. Legislators invited David Seltz from the Massachusetts Health Policy Commission. Connecticut speakers included representatives from the insurance industry, providers, state officials, a foundation and advocates. A recurring theme was the need…

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Medicaid transportation gets a closer look

For the second month in a row, MAPOC focused in on the Medicaid transportation contractor’s performance Friday. Questions about Veyo, the contractor, have persisted since they were chosen by DSS. There were more questions than answers at Friday’s meeting, including what terms mean in the report. The number of rides the state is getting for…

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