insurance
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…
Read MoreInsurance 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…
Read MoreCT 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…
Read MoreLegislators 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…
Read MoreInsurance committee to hear bills that 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. The consolidation of hospitals and providers into large health systems in Connecticut has stifled competition, allowing prices to rise unchecked. Large health systems use anti-competitive contract…
Read MoreOp-Ed: Things to like in the Governor’s budget proposal
This is new for me and I may be alone, but I found a lot to like in the Governor’s budget. This fall the administration must have been listening to complaints about their disappointing healthcare record. Their new budget proposal starts to turn that around, tackling the drivers of soaring healthcare costs – prices for…
Read MoreAnalysis: Life Saving Innovation at Alarming Prices
We do scientific innovation very well. New therapies — from anesthesia in 1850, antibiotics in 1928, organ transplants in 1960, to COVID vaccines now — are improving our lives and extending life expectancy. However, healthcare costs now consume 20% of our economy, and we aren’t getting our money’s worth. Complicating the issue, Pharma’s extreme drug…
Read MoreBarriers to Fair Access Report prompts insurers to improve access to 11 drugs
There’s a lot of very appropriate focus on the unfairness of unwarranted drug prices. But an equally important key to patients accessing those drugs is the fairness of insurance policies. To keep premiums affordable, insurers must balance, even encourage, appropriate to access care, while deterring overtreatment and excessive prices. ICER, the nation’s leading value assessment…
Read MoreLow or no cost health insurance open enrollment ends soon
Connecticut residents have until next Sunday, January 15th to sign up for health insurance through Access Health CT. About 100,000 Connecticut residents get their health insurance through Access Health CT and 70% get financial assistance to afford coverage. Two thirds of uninsured Americans qualify for free or subsidized coverage; they just haven’t signed up. Free…
Read MoreUpdate: Policy options to support competition and control healthcare prices
Download the fact sheet Download the updated resource list Healthcare service prices are the main driver of Connecticut’s rising health insurance premiums. The consolidation of hospitals and providers into large health systems has stifled competition, allowing prices to rise unchecked. Other states have taken action to protect competition in consolidated markets and it’s working. Connecticut…
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