Large study finds selection bias in Medicare shared savings erases savings and quality improvements – advocates saw this coming

Researchers from the University of Michigan found that the modest savings and quality improvements reported by Medicare’s extensive shared savings program (MSSP) are likely due to adverse selection. High cost clinicians and beneficiaries were far more likely than others to exit the program. When adjusted for the selective bias in MSSP exit, reported savings and…

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2019 Connecticut legislative session – what happened and what didn’t happen

Download the full report Connecticut’s General Assembly debated an unusually large number of health-related proposals this year. Some were new and some have been debated for years. Some passed, some were rejected, and some are on hold for next year. As of this writing, only the minimum wage increase bill has been signed into law…

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State budget deal restores coverage for 4,000 HUSKY parents, a move toward quality-based payments, and insurance protections

Policymakers have reached a $43 billion state budget deal to cover the next two fiscal years, on-time before the end of the session. For health policy folks, there is a lot to like in the deal but a few notes of caution. The best part is a partial restoration of HUSKY parents’ eligibility cuts from…

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Public option gone but good pieces remain

Negotiations over a public health insurance option in CT have broken down but other good parts of the deal remain. Reportedly, there is a budget agreement to restore HUSKY eligibility for some of the 11,000 working parents cut in 2016. DSS reports found that the large majority of the low-income parents cut from HUSKY were…

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CTNJ: Better Public Option Bill Looks to Bigger Picture

Rising health insurance costs are crushing Connecticut families and small businesses. From 2008 to 2014 deductibles in our state rose 67% for families and 50% for small businesses. The Connecticut Option, Democrats’ newest public health insurance option bill, not only improves feasibility of the concept but also begins to address the foundations of rising health…

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CTNJ: AG expands generic drug price-fixing lawsuit

Friday, Connecticut’s Attorney General Tong and 43 other Attorneys General filed a federal lawsuit alleging that 20 generic drug manufacturers and 15 individuals conspired to inflate prices for 114 drugs that treat a multitude of conditions. The complaint outlines a broad, coordinated campaign across the industry to fix prices, allocate markets and rig bids. Price-fixing…

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Appropriations Committee passes their budget proposal — Still mixed news, but better

Tuesday, the Appropriations Committee passed their version of the 2019-2021 state budget on a party line vote. While they mainly agreed with the Governor’s proposal from February, they did improve in some areas. Good and better news – The committee agreed with the Governor not to cut eligibility for HUSKY parents or the Medicare Savings…

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Better, safer ideas to support primary care in Connecticut

Download the report Primary care is the foundation of the health system. It is, or should be, patients’ first interaction with the healthcare system for non-urgent issues. There is strong evidence that care coordination linked to primary care practices, such as patient-centered medical homes (PCMHs), foster improved health while lowering costs.[i] Areas with more primary…

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CT needs to monitor ACOs

Accountable Care Organizations (ACOs) are a growing part of CT’s healthcare landscape. But if you’ve never heard of them, you’re not alone. ACOs are large health systems run by providers, often including hospitals, doctors, home health, nursing homes, and other providers. It is estimated that 15 to 20% of CT residents have already been enrolled…

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