insurance
How CT can save $162 million in healthcare waste
An analysis of Connecticut’s commercial insurance markets finds we spent $9.45 per person per month on wasteful low-value care in 2019, according to a new report by VBID Health. Of the $162 million total, $24.5 million was from patient out-of-pocket costs. Low-value care provides no or minimal benefit to patients and is an important driver…
Read MoreMost CT physicians take Medicare patients, but less than US average; implications for payment reform
At 84%, the large majority of physicians in Connecticut take new Medicare patients according to a new analysis by the Kaiser Family Foundation, while 91% take new privately insured patients. The US averages are 89% for Medicare and 91% for privately insured new patients. The analysis was of non-pediatric, office-based physicians in 2015 and 2017.…
Read MoreCTNJ Op-Ed — Policymakers did little to lower healthcare costs this session
Healthcare costs featured prominently in CT News Junkie’s 2020 candidates’ survey. It’s very likely that candidates will hear the same concerns from voters again this year. Last year, policymakers accomplished little, and healthcare costs haven’t gotten any better since then. Incumbents will be asked what they did this year to provide some relief. Unfortunately, they…
Read MoreGood News — Senate passed SB-416 to lower healthcare prices
On Wednesday, the Senate voted 29 to 4 to pass SB-416, An Act Promoting Competition in Contracts Between Health Carriers and Health Providers, without amendments. The bill passed out of the insurance committee unanimously and received overwhelmingly positive feedback in the public hearing. Two lawsuits have been filed against Hartford Healthcare for anti-competitive conduct, driving up…
Read MoreBook Club: The Long Fix
I’ve been avoiding reading The Long Fix: Solving America’s Health Crisis with Strategies that Work for Everyone by Vivian Lee. But this semester, one of my students asked if she could read it for her Book Review assignment. I couldn’t really refuse, so I had to read it too. The author, a physician and healthcare…
Read MoreLegislators hear diverse voices favoring competition to control healthcare costs
Update 3/22/2022 — SB-416 passed the Insurance and Real Estate Committee unanimously. Twenty-one organizations and state residents testified in favor of SB-416 in Thursday’s Insurance and Real Estate Committee public hearing. Just three testified against. SB-416 would level the playing field in Connecticut’s healthcare market by prohibiting anti-competitive contract clauses used by large health systems…
Read MoreTestimony: Consolidation’s harms to stressed healthcare workers
From Haley Magnetta, fellow at CT Health Policy Project, written testimony in support of SB-417, An Act Promoting Competition in Contracts Between Health Carriers and Health Care Providers I am testifying as a clinically practicing Emergency Medicine Physician Assistant (PA). As a provider who has worked in hospitals that have been consolidated, I want to…
Read MoreFact Check: Does OHS’s Primary Care Roadmap include capitation? Yes, 31 times
In the Insurance Committee’s March 1st public hearing on HB-5042, advocates stated that the Office of Health Strategy’s Primary Care Roadmap plan, authorized in the bill, includes capitation as the payment model. Primary care capitation has failed in Medicare despite significant investment and multiple trials. Advocates are concerned that, if implemented, the Roadmap would divert…
Read MoreInsurance committee to hear bill to mitigate consolidation and lower healthcare costs
Download our testimony One of the main drivers of Connecticut’s rising healthcare costs is consolidation in the healthcare market, making health coverage increasingly unaffordable for consumers, employers, and businesses. Next Thursday, March 14th, the insurance committee will hold a public hearing on SB-416, An Act Promoting Competition in Contracts Between Health Carriers and Health Care…
Read MoreNew tool finds all CT health systems’ commercial prices are far higher than needed to cover expenses
According to a new tool, Connecticut hospitals would have needed commercial rates equal to 135% of Medicare levels in 2020 to cover their expenses, much higher than the US average of 114%. However, every health system in Connecticut charged well above that level, far more than needed to cover expenses. The National Academy for State…
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