HUSKY
CTNJ op-ed – Advice From an Advocate to the Next Social Services Commissioner
Welcome, you have a big job ahead of you. Connecticut’s Department of Social Services (DSS) is a huge agency, spending $8.4 billion this year for programs that impact many lives. As a healthcare advocate who has spent decades trying to move your agency and your predecessors, with mixed results, you have a difficult job. Luckily…
Read MoreMore questions for YNHH about controversial primary care proposal
Yesterday, the state Office of Health Strategy sent their eighth set of questions about the controversial application of Yale-New Haven Health System and their community health center partners to move primary care for 28,500 mainly low-income New Haven area residents out of the current neighborhood sites to Long Wharf. Among others, critical concerns have been…
Read MoreSIM primary care capitation proposal gets another tepid reception
This week, SIM presented to the Healthcare Cabinet their proposal to capitate primary care, initially for Medicare members, but eventually for all state residents. The proposal is to move primary care to capitated “bundles” – one for basic primary care services and a voluntary, supplemental payment for expanded activities such as infrastructure and HIT and…
Read MoreYNHH answers latest questions about controversial primary care proposal
Monday Yale-New Haven Health System and their community health center partners answered the latest set of questions from the state Office of Health Strategy (formerly OHCA) to their controversial plan to move primary care services for 28,000 low-income New Haven residents out of the current neighborhood sites to Log Wharf. Under the proposal, patients’ care…
Read MorePCMH+ update: discussions ongoing to fix problems
At yesterday’s MAPOC Care Management Committee meeting, DSS and Mercer reported on their plans for PCMH+, the controversial shared savings Medicaid program. A workgroup has been meeting at DSS to drill down on what didn’t work. DSS has lobbied the Governor to include a new Wave 3 to update the current program in his budget…
Read MoreDespite concerns, Medicaid buy-in study bill is voted out of committee
While testimony supporting the concept has fallen since last year’s version, on a party-line vote the Human Services Committee voted out bill 7339, which creates a study of public health coverage options, specifically mentioning a Medicaid buy-in. While strongly affirming the need for affordable options, in public and written testimony advocates and others raised concerns…
Read MoreControversial YNHH/clinic plan delayed over a year, deep concerns remain
In response to questions from state regulators, YNHH announced that their controversial plan to shift care for 28,500 mainly low-income New Haven area residents to a new site, far from neighborhoods and to shift Medicaid billing for those patients to the two community health centers will be delayed until late Summer 2020. The delay allows…
Read MoreState poses more questions to YNHH over primary care plan
Yesterday, CT’s Office of Health Strategy asked Yale-New Haven Health System for more information about their controversial plan Yale New-Haven’s application to shift care for 28,500 mainly low-income New Haven area residents to a new site, far from neighborhoods and to shift Medicaid billing for those patients to the two community health centers. Information requested…
Read MoreCTNJ: Medicaid Buy-In Sounds Good But A Closer Look Finds Plenty of Risk, Little Potential
Insurance in Connecticut is expensive. Policymakers are desperately seeking options to provide relief for struggling families and employers. There are several good ideas floating around that could help, but the public option based on Medicaid is not one of them. Read more
Read MoreMedicaid’s Care Management program is saving lives and money, but state paying twice and savings may be going to PCMH+ ACOs
Last week, the Complex Care Committee of the Medicaid oversight council heard from CHNCT, the nonprofit that, among other things, administers our state’s Intensive Care Management (ICM) program. ICM is available to Medicaid members with complex health needs and, typically, high health costs. The ICM program includes regional teams providing comprehensive assessment and care planning,…
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