Op-Ed: This Is Why CT Can’t Lower Healthcare Costs

After years of deliberation, Connecticut’s state plan to cap healthcare costs has finally identified the drivers of those costs in our state. But the Steering Committee, dominated by healthcare industries, still isn’t brave enough hold the overspenders accountable. They want the profitable industries to come up with ideas to lower their own costs (what could…

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Report estimates public coverage not available for 56,000 CT noncitizen residents next year

A new report by the Urban Institute estimates that 67% of Connecticut’s uninsured noncitizen residents won’t be eligible for Medicaid, CHIP, or health insurance exchange tax credits (AccessHealthCT) coverage next year, although they pay taxes. Most noncitizens with insurance coverage are covered through employment. Without expansions of eligibility, 56,000 Connecticut residents will remain uninsured next…

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OHS seeks community input on YNHH purchase of three more hospitals

The Yale-New Haven health system has applied for permission from the state to buy Waterbury, Manchester Memorial, and Rockville General hospitals. The state Office of Health Strategy is seeking community input through a short survey about how this deal could impact healthcare services and costs. These three hospitals are currently owned by Prospect Medical Holdings,…

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Study finds only two thirds of CT patients getting primary care, 11th worst in US

Download the report A new study by Fair Health found that of Connecticut patients who had a medical visit from 2016 through 2022, one third (33.1%) had no claim for a primary care visit. Connecticut was 11th highest among states in patients missing primary care visits. At half of Connecticut’s rate, Massachusetts was the best…

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CT low wage workers pay more but get less health benefits

Download the data Download the brief Connecticut workers with the least resources are charged more for less, when they are offered health benefits, according to a new analysis of 2021 federal Medical Expenditure Panel data. The lowest wage workers in Connecticut are less likely to be offered health benefits, are offered less generous plans, and…

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Analysis: Are Connecticut Hospitals Losing Money? It Depends

 Our state’s hospitals are hemorrhaging money according to the Connecticut Hospital Association. They report losses of $164 million last year. But state officials are pushing back, saying hospitals aren’t telling the full story and hospitals are the main driver of rising healthcare costs in Connecticut. It all depends on how you look at it. Read…

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New standards to include health equity lens in effectiveness, fair pricing analyses

There is a growing consensus that healthcare systems can, unintentionally, exacerbate health disparities for underserved communities. There is a special concern that, as more payers use health technology assessments (HTAs) to promote value in the healthcare system, that health equity be incorporated into the methods. HTAs are evidence-based evaluations of healthcare treatments for clinical effectiveness…

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Insurance Committee passes bills prohibiting anti-competitive health system practices

This morning, the Insurance and Real Estate Committee approved two bills that  prohibit huge healthcare systems from using their monopoly power to jack up prices and insurance premiums. The Committee’s bill passed unanimously; the Governor’s bill that also includes an out-of-network price cap passed overwhelmingly. The Committee passed a similar bill last year. It passed…

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CT Medicaid costs stable but hospital spending needs monitoring

Download the report Sources below Connecticut Medicaid per member costs are stable and growing slower than other states. CT Medicaid per member costs are lower than all but 27 other states, just below the median. But hospital spending increases could erode that progress. Medicaid is not the driver of rising state budgets, growing less than…

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Legislators hear voices calling for consolidation protections to lower healthcare costs

Download our testimony Yesterday’s public hearing testimony was largely supportive of two bills to prohibit anti-competitive clauses in hospital system contracts with payers. Seventeen testimonies favored the bills, while eight opposed, mainly calling for more transparency and consistency in contracts. Several testimonies (here, here, here, here, and here) favoring the bills came from state residents…

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