HUSKY
Weak answers to state’s second set of questions about YNHH primary care plan for New Haven
Yesterday, Yale-New Haven submitted answers to the state’s second set of questions about their controversial plan to shift care for 28,500 mainly low-income people to a new site, far from neighborhoods. They also plan to shift Medicaid billing for those patients to New Haven’s two community health centers “for increased reimbursement through the FQHC enhanced…
Read MorePCMH Plus Year 1 Performance and Savings Results: Increased state costs but little evidence of impact on quality
Read the full report This month, Connecticut Medicaid announced the first year performance of PCMH Plus[1], their controversial new shared savings program[2] compared to the prior year. Under shared savings, if health systems (ACOs) are able to lower the cost of their members’ care, they receive a bonus equal to half those savings. PCMH Plus…
Read MoreYNHH, clinics respond to state questions on primary care plan
Yesterday Yale-New Haven Hospital responded to questions from the state prompted by community and advocate concerns at a recent public hearing about their controversial plans to shift primary care for 28,500 people. Technically patients at the new YNHH site would be attributed to the Fairhaven and Cornell Scott-Hill health centers for billing purposes but would…
Read MoreMore press and a defense on YNHH, clinics plan for New Haven primary care
Both concerns and support were raised at the public hearing about the proposal to close Yale-New Haven’s primary care clinics, move patients and YNHH clinicians to a more distant site, but technically transfer 28,500 patients to the Fairhaven and Cornell Scott Hill health centers. CTHPP testified with concerns about potentially substantial new costs to the…
Read MoreCTNJ: Analysis – Clinic plan could hit state budget, raise patient costs, increase barriers to access
Last week the state Office of Health Strategy held a public hearing on a plan to transfer 28,500 mostly Medicaid patients, now served by three Yale-New Haven (YNHH) neighborhood primary care clinics, to a new site on Long Wharf owned by YNHH. But in a twist that could cost the state millions, those patients will…
Read MoreDisability advocates register serious concerns with SIM primary care capitation plan
On Friday, thirty consumers and advocates for people with disabilities sent a letter to Vicki Veltri and Mark Schaefer, CT’s SIM officials, expressing their concerns with SIM’s proposal to capitate primary care for everyone in CT. The signers are concerned about the potential to deny needed care, especially for people with complex medical conditions. Capitation…
Read MorePCMH+ quality reports surprisingly underwhelming
At the MAPOC and Care Management committee meetings we finally received the promised quality evaluation of PCMH +’s first year. PCMH+ is DSS’s experimental new payment program that now covers 165,432 HUSKY members. We only received information on the 13 mainly process measures. These measures were chosen as basis for shared savings payments, not for…
Read MoreAdvocates get no answers to questions about HUSKY experiment
Last month, a group of independent consumer advocates, the Medicaid Study Group, sent questions to DSS about the impact of PCMH Plus, their new $10.8 million experimental program of shared savings in HUSKY. Advocates have been concerned about PCMH Plus’s potential to deny needed care, raise costs in the program, and erase hard-won progress. Questions…
Read MoreMedicaid update: LTSS working to keep people out of nursing homes, hospitals
Friday’s Medicaid Council meeting focused on rebalancing long term services and supports allowing more members to stay at home, if they choose, and improve quality of life. Recipients of LTSS services comprise 6% of Medicaid members but 43% of costs. On average community-based care is less costly. The comprehensive strategy that began with a 2013…
Read MoreMedicaid update: Enrollment numbers coming finally, highlighting progress
Friday’s Medicaid Council meeting focused on enrollment numbers and reviewing achievements in the program. DSS outlined challenges that have delayed reporting enrollment numbers for two years and their new system for reporting the numbers. Rather than getting enrollment reports on paper as in the past, DSS is posting the data on CT Open Data. Visitors…
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