Medicaid Council update

Today’s Medicaid Council meeting focused on continuing problems with enrollment and recommendations to reduce Medicaid ED use. In response to a letter from Council members, we learned that 63% of calls to the DSS Benefits Center from August through December 2013 were dropped – people waited 17.5 minutes on average before hanging up. Things are…

Read More

Encouraging Medicaid spending projections

CT expects our state share of Medicaid spending to drop, actually drop, by $247 million from this fiscal year to next, according to a new analysis. In fact, it is projected that it will take about two years to climb back to current year spending levels. While spending per capita dropped (and quality improved) in…

Read More

Press on Governor’s budget and health

Press accounts hold more information on the Governor’s budget including what’s not there – relief for hospital cuts in previous years. Health and Human Services, A Mixed Bag, CT News Junkie Home care, Medicaid pay, inmate health care in Malloy proposal,  CT Mirror

Read More

Governor’s budget update proposal

The Governor’s midterm budget adjustment proposals include maintaining the increase in primary care provider rates that began last year costing the state $15 million in FY 2015 and $36 million in future years. The Affordable Care Act provided full federal funding to cover the cost of those rate increases for 2013 and 2014 only. Those…

Read More

CT’s Medicaid success: Access and quality are up, costs are down

Since 2012, when CT’s Medicaid program shifted from a capitated payment model to a self-insured model based on care coordination, the program has enjoyed significant improvements in quality, access and cost control, as predicted. A new analysis finds that the number of providers participating the in the program is up 32%, person-centered medical homes are up…

Read More

More doctors participating in Medicaid

The Hartford Business Journal is reporting on the increase in primary care providers caring for Medicaid consumers. The number of Medicaid primary care providers has more than doubled in the last two years. This is critically important as an estimated 150,000 more state residents will qualify for Medicaid coverage under the ACA. The article credits…

Read More

Medicaid Council update – very good news on PCMHs

At today’s Medicaid Council meeting we heard an impressive presentation by DSS and CHNCT, Medicaid’s administrative services organization, about the success of person-centered medical homes (PCMHs) in CT’s program. At the end of the year 211,206 Medicaid consumers were being cared for in a PCMH – about one in three CT Medicaid recipients. 65% of…

Read More

Medicaid Council update

Friday’s Medicaid Oversight Council meeting focused on the success of the Intensive Care Management Program. The program provides the most fragile Medicaid consumers with team-based, patient-centered care starting with a comprehensive assessment of what consumers need, both health and other supports, strengths and barriers. The team supports the consumer in setting their own goals and…

Read More

Early insurance exchange enrollment older and half to Medicaid

  Between the beginning of the month and Tuesday 3,847 people had enrolled in coverage through Access Health CT, our state’s health insurance exchange, according to a presentation to the exchange Board this morning. 1,857 (48%) are eligible for Medicaid, 1,125 (29%) for subsidized insurance, 772 (20%) for insurance without a subsidy, and 93 (2%)…

Read More

Medicaid performance dashboard unveiled; marked improvement with switch from HUSKY HMOs

  At Friday’s Medicaid Council meeting, DSS described their new ASO accountability dashboard with performance measures for the program. From January 2012, when the HMOs left the program, to this June the number of providers participating in CT’s program has grown 32%, hospital admissions are down 3.2%, the average length of stay is down 5%,…

Read More