CT Mirror Opinion: Keep MCOs out of HUSKY health care

“In the past, managed care organizations were a disaster for Connecticut’s Medicaid program“ Former legislator, Medicaid provider, member of Medicaid’s state oversight council, and champion for member access to care who lived through the MCO years, Vickie Nardello says, “ I strongly disagree with Gov. Ned Lamont’s plan to bring managed care organizations (MCOs) back…

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Analysis: Medicare’s drug price negotiation – Why it’s a big deal

For the first time, Medicare has negotiated prices with pharmaceutical companies. Prescription drug costs are a significant driver of rising healthcare costs in Connecticut, rising 7.7%  from 2021 to 2022, more than any other category. Medicare covers one in five Connecticut residents, mainly seniors and people with disabilities, and is the biggest purchaser of drugs…

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HUSKY evaluation call is broad; Includes MCOs but is not biased

Updated August 15, 2024 with Questions and Answers to DSS Last month, DSS released their promised request for quotes (RFQ) from current contractors to evaluate Connecticut’s Medicaid program. (Questions from potential RFQ applicants and DSS’s answers are here.) The RFQ includes important broad priorities that are shared by advocates and other stakeholders, including an evidence basis…

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CT Mirror: Lamont exploring Medicaid managed care, but many push back

Today, CT Mirror published an overview of the Governor’s project to review Connecticut Medicaid, looking for potential improvements to improve care and reduce costs. The piece also outlines the resistance from legislators, advocates, and other stakeholders to re-introducing MCOs into the program. Read more

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DSS gets input for Medicaid landscape survey

At last week’s MAPOC meeting, DSS announced they will be hiring a consultant to survey the Medicaid landscape assessing options for improvement, including MCOs. Advocates, legislators, and other stakeholders have publicly registered their opposition to returning the failed MCO model to our successful HUSKY program. At the meeting DSS requested input on the criteria consultants…

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CT Healthcare Explained is updating

We are taking on the massive project of updating CT Healthcare Explained. We just finished the Workforce chapter, including updated numbers and wages for the broad range of people who provide healthcare. We’ve included trends, shortages, disparities, and changes happening and recommendations for improvement. We updated Healthcare Costs last month. Hospitals are next. Connecticut’s healthcare…

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Analysis: Newest Hartford Healthcare lawsuit adds a critical twist

Yet another lawsuit against Hartford Healthcare (HHC) may seem obscure and limited to healthcare, but it goes much further. There is overwhelming evidence that prices for care at huge health systems like HHC are driving up healthcare prices for private health plans in Connecticut and it’s getting worse. The third anti-trust lawsuit against HHC outlines…

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43 sign letter urging Governor not to return MCOs to HUSKY

A letter signed by 27 organizations and 16 individuals was sent to Governor Lamont urging him not to return Connecticut’s successful Medicaid/HUSKY program to the failed managed care (MCO) model. The signers cited HUSKY’s progress leading the nation in cost control, quality, innovation, and access to care since MCOs left our program in 2012. Read…

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noHuskyMCOs webinar for advocates online

A recording and slides from yesterdays’ noHuskyMCOs webinar for advocates is online. The webinar covered – Questions included — If your group would like a presentation on noHuskyMCOs, email andrews@cthealthpolicy.org.

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Analysis: Why most other states use Medicaid MCOs and why CT doesn’t

A question has been posed to opponents of MCOs in Connecticut’s Medicaid program. Under the Rowland administration, Connecticut started using Medicaid MCOs, but we removed them in 2012 because they weren’t performing. Advocates are strongly opposed to using MCOs in HUSKY. But if they’re so terrible, why do 40 other states use MCOs to run…

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