Budget agreement reached

The Governor and General Assembly have reportedly reached an agreement on changes to next year’s budget, beginning July 1st, to cover a $2 billion deficit. The agreement includes converting HUSKY to a self-insured ASO model saving $77 million and increases in copays and premiums for HUSKY Part B families, saving $576,000. The legislature is expected…

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BHP initiative reduces hospital delay days by 22% in two years

At Wednesday’s Behavioral Health Partnership Oversight Council meeting, Value Options, DCF, DSS and eight hospitals announced remarkable progress in reducing the number of HUSKY children in discharge delay at hospitals, ready to leave but waiting for appropriate outpatient behavioral health care. The initiative aligned performance incentives across providers and administrators. During 2007, before the initiative,…

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House passes budget mitigation plan

Yesterday the House approved a plan to address the $371 million deficit in this year’s state budget. The Senate will vote on the plan today and the Governor is expected to sign it. The bill includes freezing subsidized enrollments in the Charter Oak program at the end of this month; consumers paying full cost will…

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Medicaid Managed Care Council update

Friday’s Council meeting was relatively uneventful. We started with a wonderful outreach video by CT’s Healthy Start programs describing the important work they do supporting at-risk pregnant women and connecting them to the care they need to ensure healthy births. (Advocates think it would be a good idea to start every Council meeting with babies…

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New OLR report finds PCCM succeeds, saves money in other states

A new report by the legislative Office of Legislative Research outlines enrollment, savings and impact on hospital visits in states that have implemented Primary Care Case Management (PCCM). PCCM is a different way of running Medicaid managed care plans (HUSKY in CT) used in thirty states. PCCM does not involve HMOs, but rather rests on…

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CT Medicaid wins in health reform reconciliation bill

The reconciliation bill scheduled to be considered this weekend by Congress benefits CT’s Medicaid program, and the state bottom line, in significant ways. The bill would expand Medicaid coverage to all state residents (except undocumented immigrants) up to 133% of the federal poverty level (FPL) — $14,620.50 for individuals and $19,669.50 for a family of…

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PCCM Subcommittee update

At today’s PCCM subcommittee of the Medicaid Managed Care Council, DSS unveiled their plans for the Mercer evaluation of the program to be completed by July 1st. Advocates raised many concerns including: · The inability to get any meaningful information on health outcomes with only 200 members on average over the last year · A…

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Medicaid Managed Care Council meeting update

Friday’s Council meeting was uneventful. After a year, there are 342 people in PCCM/HUSKY Primary Care; legislation requires at least 1,000. Despite that, DSS is steaming ahead on plans to evaluate the program by July 1st. It is fascinating that they are just now deciding to comply with deadlines in this program – they have…

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PCCM bill public hearing

Tuesday the Human Services Committee heard HB-5297, An Act Concerning Statewide Expansion of the Primary Care Case Management Pilot Program. The bill would, as the title says, expand PCCM statewide as of October 1st and delay the planned evaluation of the program until next year. Advocates have raised concerns about DSS’ plans to evaluate the…

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Governor proposes more cuts to health care

To address the growing budget deficit, the Governor’s mitigation plan includes $13.7 million in new cuts to health care programs. The cuts include higher copays and premiums for HUSKY Part B and Charter Oak families, cuts to community and school-based health centers, cuts to Medicaid providers, reductions in hospital DSH payments for the uninsured, new…

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