CTNJ: 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

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Medicaid’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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CTNJ: Public Option Discussion Moves Forward

Connecticut healthcare insurance premiums are expensive, pricing out too many individuals and businesses. This session, lawmakers are considering whether to create a public insurance option, accountable to government, to bring down costs. Yesterday, CT News Junkie’s second public policy forum at the Capitol explored the issue with policymakers and experts. Hear the discussion

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Governor’s first budget proposal has plenty of good news, with a bit of wait-and-see news, and a bit of bad news

The Lamont administration released their first budget today. In healthcare, it is mostly good news, but also some we’ll wait-and-see, and a bit of bad news. The good news: There are no cuts to HUSKY parents eligibility, no cuts to Medicaid Savings Program (mostly), and no plans to return to private insurers managed care. Let’s…

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Seven years later, Connecticut Medicaid still saving taxpayers money

Download the report 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 a remarkable and unique move — Medicaid switched from a capitated payment model using private insurers to a care coordination-focused, self-insured payment model. Since…

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Public Option Forum – high expectations, big challenges

Legislators were warned that ideas that sound simple are rarely that easy at last week’s forum on building a public option to bring down CT’s high health insurance premiums. The forum by the Insurance and Human Services Committees brought in national experts to explore the concept. The idea is to create a non-profit, publicly-accountable insurance…

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CTNJ Public Policy Forum: Would a Public Option Help Connecticut?

The second CT News Junkie Public Policy Forum will be next Thursday, Feb. 21st at 10 am in Capitol Room 310. Connecticut healthcare insurance premiums are expensive, pricing out too many individuals and businesses. This session, lawmakers are considering whether to create a public insurance option, accountable to government, to bring down costs. Important questions…

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CT Medicaid’s managed fee-for-service model saved $300 million last year

Updated 2/19/2019 We got very good news on Medicaid spending, again, at last week’s MAPOC meeting. Per member costs were down 2% from 2016 to last year, even despite hospital rate increases, saving taxpayers $300 million. The state’s share of Medicaid has barely budged since 2014, despite huge enrollment increases. CT remains behind other states…

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More concerns about YNHH, community health center plans for New Haven primary care

Updated 11:30 am A letter from the City of New Haven’s Department of Services for Persons with Disabilities to the state and new Yale Daily News article and one from the New Haven Register highlight transportation issues with YNHH and the two city community health centers’ plans for primary care. Plans to use Uber to…

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Mixed results from great study on Medicaid behavioral health interventions

Yesterday’s MAPOC Complex Care Committee meeting focused on results of an adult high behavioral health need member initiative by Beacon, Medicaid’s behavioral health administrator. The program serves high utilizers of hospital services with behavioral health needs providing intensive care management by teams of clinicians and peer specialists. Medicaid members with high behavioral health needs were…

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