insurance
CTNJ Op-Ed: Labels matter in healthcare, especially the misleading ones
The President was right – healthcare is complicated. There are lots of reasons, but a big one is language. What something is called can add to or lessen understanding. Sometimes it can be deceptive, giving the impression of a more acceptable definition than the truth. It rarely works for long, but a lot of harm…
Read MoreMedian income CT residents squeezed between rising insurance premiums and inadequate subsidies
A new CMS analysis finds that between 2015 and 2019, US insurance premiums rose while enrollment in insurance exchanges went down. The report found that 85% of the drop in enrollment was in unsubsidized coverage. People with incomes below 400% of the federal poverty level ($51,040 for an individual, $86,880 for a family of three)…
Read MoreCommercial plans pay Connecticut hospitals 215% of Medicare prices, but that’s better than most states; No evidence of Medicaid or Medicare cost shifting
A new data set and report from RAND finds that Connecticut hospital prices paid by commercial plan were 215% of Medicare in 2018, varying from 144% for UConn Health to 282% for Stamford Health. If commercial plans had paid the same rates as Medicare that year, consumers would have saved $510 million. While high, Connecticut…
Read MoreOHS committee considers how to sell the Cost Cap to stakeholders
Last week’s meeting of the Office of Healthcare Strategy’s Cost Cap committee, as they are wrapping up the project design, ended with discussion of how to ensure their project is successful in controlling healthcare costs. Despite developing the Cap during a pandemic, there has been considerable resistance and mistrust of the concept and the process.…
Read MoreCost Cap committee considers who qualifies for increased primary care spending
In response to stakeholder feedback that the prior Cost Cap levels were unrealistic and risk unintended harm to patients, at their last meeting the Office of Health Strategy’s Cost Cap committee slightly softened the cap levels. The committee continued their discussion of which providers qualify as primary care providers. OHS wants to significantly increase the…
Read MoreUpdate: OHS committee slightly eases unrealistic cap for CT healthcare costs
In response to stakeholder concerns, at their July 29th meeting the Office of Health Strategy’s (OHS) Technical Team choosing the cap for future Connecticut healthcare costs eased their previous decision on how much healthcare costs for every state resident will be allowed to increase over the next five years. Many stakeholders have voiced concerns that…
Read MoreCost cap project sets limits on healthcare spending without public input, ignoring pandemic impact
In meetings of the committee setting limits on healthcare spending for all Connecticut residents, it appears the advocates’ sign on letter and detailed concerns about the Office of Health Strategy’s (OHS’s) Cost Cap project were not heard. The plan is being developed by a Technical Advisory Team, with members chosen only by OHS, including some…
Read MoreCTNJ: COVID Response Offers Opportunities for Connecticut’s Future Healthcare System
The pandemic has been tragic in both lives lost and economic damage, especially to low wage workers. Our already flawed healthcare system has been seriously disrupted. Insurer profits are up, hospitals are losing money, and Connecticut healthcare jobs in April were down 28,400 from the year before. As the pandemic winds down, the recovery offers…
Read MoreFact Check: Do lower Medicaid provider payment rates cause higher commercial payment rates?
Download this Fact Check There’s a pervasive myth that lower Medicaid provider payment rates force providers to charge private insurers more to cover costs, but there is no evidence of that. On a simple level it makes some sense, but the truth is that providers, like most businesses, charge what they can, regardless of what…
Read MoreHelp for CT’s uninsured
With the recent spike in unemployment, many more Connecticut residents will be joining the thousands that were uninsured pre-COVID looking for healthcare coverage. The state has some new options to help. Check AccessHealthCT. You may be surprised to find that you qualify for HUSKY which is comprehensive, free, and includes most Connecticut providers. You may…
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