Advocates’ concerns to preserve PCMHs in Medicaid reform rejected

Last week independent advocates sent a letter to DSS urging them to preserve and support person-centered medical homes (PCMHs) in Medicaid redesign, but unfortunately our concerns were dismissed by the administration. PMCHs are the only reform that has extensive support in the literature as improving both access to quality care and success in controlling costs.…

Read More

Medicaid creating a committee to assess access to care

Prompted by new federal regulations, at today’s Medicaid Council meeting DSS announced the creation of a Medicaid Medical Care Advisory Committee that will track quality and access to care in the program. The committee will advise on an Access Monitoring Plan, due out July 1st, to ensure that Medicaid members’ access to care is similar…

Read More

Advocates’ letter urges delay of SIM plans for Medicaid

Fifteen independent advocates sent a letter to the administration yesterday expressing deep concerns with SIM’s Community and Clinical Integration Plan (CCIP) for Medicaid. Advocates are concerned that CCIP will undermine hard-won progress in our state’s Medicaid program that has improved access to high quality care while controlling costs. In contrast to successful programs in other states, SIM…

Read More

SIM’s CCIP proposal for Medicaid reform – poor process drives weak plan

Public comments from the CT Health Policy Project raise deep concerns about SIM’s proposal for Medicaid reform requirements could undermine hard-won successes in the program and may not achieve the goals. The Community and Clinical Integration Plan (CCIP) is SIM’s plan for community-based resources to support Medicaid advanced networks that will be sharing in savings…

Read More

Medicaid update – plans to “transition” 17,688 HUSKY parents off the program, serious SIM/CCIP problems jeopardize Medicaid redesign

Friday’s Medicaid Council meeting focused on implementation of last year’sbudget provision that will end coverage for 17,688 HUSKY parents on July 31stof this year. DSS reported on efforts to assure that people still eligible for Medicaid in other categories do not lose coverage. Of the 1,215 parents who lost coverage last year due to the…

Read More

Governor’s budget proposal – it could be way worse

Today the Governor announced his proposed budget for the coming fiscal year that starts July 1st. The very, very good news is that Medicaid is largely untouched – no new cuts to providers, no more people losing coverage, and minimal service limits (orthodontia). This is smart because current reforms in the program are working to…

Read More

Radiologists’ cuts discussed at Medicaid committee meeting

Friday’s MAPOC Complex Care Committee included a presentation on the cut to radiologists’ rates this last session. Representatives of the Radiological Society of Connecticut outlined the across-the-board cuts effective last April that dropped payments for interpreting images from 100% to 57.5% of Medicare rates, lower than rates paid by other states. The physicians are concerned…

Read More

How CT can save $1 billion

Per person costs in CT’s Medicaid program fell, actually went down, by 5.9% last year. If the rest of CT’s state budget could match that performance, we would have a $1 billion surplus. Following is my list for how we could spend it (this was fun). ·      Reverse the HUSKY parents cut ·      Reverse the…

Read More

Medicaid still saving $ hundreds of millions

Four years after shifting from managed care organizations to a care-management focused program, CT’s Medicaid program continues providing significant relief to the tight state budget. At today’s Medicaid Council meeting we learned that per person spending was down 5.9% from FY 2014 to 2015, saving the state $360 million just last year compared to no…

Read More