Only 15% of CT Medicaid smokers are getting medications to help quit

An article in this month’s Health Affairs estimates that only 15% of CT’s 102,000 Medicaid adults who smoke are getting medications to help them quit. While this is better than the 10% US average, there is a lot of room to improve. 31% of adults in our state’s Medicaid program smoke, about twice the rate…

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Advocates urge SIM not to disrupt successful Medicaid PCMH program

In a letter to SIM steering committee members, the Medicaid Study Group urged support for DSS’s decision to build Medicaid reforms on the successful person-centered medical home program. Specifically the Group applauded DSS’s decision to only include members served by certified PCMHs in the new, untested shared savings model being planned for Medicaid. The Medicaid…

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Advocates offer comment on MQISSP design proposals to date

As requested, the Medicaid Study Group has drafted comments to DSS on current design proposals for MQISSP, CT’s Medicaid reform plan. The Medicaid Study Group, with over twenty independent consumer advocates, has taken a deep dive into the health reform literature and the experience of Medicaid reforms in other states, and providing feedback and recommendations…

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Medicaid update: New data on high-cost, high-need members

Friday’s Medicaid Council meeting focused on CT’s participation in a national technical assistance program to identify and meet the needs of high-cost, high-need patients. This population has received a great deal of attention from policymakers as the best opportunity to both improve access and quality of care as well as control costs. The concept offers…

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Op-Ed — CT Medicaid: Don’t Mess With What’s Working

In an unusual twist, two prominent legal aide attorneys highlight Medicaid’s exceptional performance in improving quality, expanding access to care and controlling costs in a New Haven Register op-ed yesterday. CT’s Medicaid program is remarkable in actually lowering the cost of care for members, while improving the care they receive.  Legal aid’s role is not…

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Fate of terminated HUSKY parents troubling, implications for families staying together

At Friday’s Medicaid Council meeting we learned that 167 of the 1,215 HUSKY parents that lost coverage last year were able to buy insurance from the health insurance exchange. Unfortunately 32 former HUSKY parents initially signed up for insurance through AccessHealthCT, but later lost coverage because they didn’t pay their premiums. It is not clear…

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Community Care Teams addressing high-cost Medicaid member needs

Friday’s MAPOC Complex Care Committee meeting focused on Community Care Teams (CCTs) that collaborate across social service to help people with complex health problems. So far, seven CT communities are developing or already operating CCTs that focus on frequent ED visitors. The CCT teams include hospitals, behavioral health and primary care providers with community resources…

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Half of CT’s remaining uninsured eligible for subsidies or Medicaid

A new analysis by Kaiser finds that 47% of CT’s remaining uninsured are eligible for subsidized coverage. The latest Census report found that CT’s uninsured rate dropped by 2.5% from 2013 to 2014., but 6.9% of state residents are still without coverage. While 87,000 more residents gained coverage in the first year of the ACA…

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NJ conference on Medicaid ACOs – deep commitment to applying lessons learned

A CT contingent ventured to NJ last week for their 4thAnnual MedicaidPayment Reform Summit. The conference was sponsored by the QI Collaborativewhich is working with the state and private foundations to support accountable care in NJ’s Medicaid program. We heard from Jeff Brenner of the Camden Coalition about their impressive results in serving high-need, high-cost consumers…

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