Medicaid
CTNJ: The recession is here, and healthcare is in the center of it
After the longest economic recovery in US history, we’ve been expecting a recession for a long time. We knew when it came, Connecticut healthcare would be hit hard. But no one expected this. Connecticut didn’t fare well in the last recession and we took longer than other states to build back the jobs we lost.…
Read MoreACA turns ten in troubled times
Ten years ago today, President Obama signed the Affordable Care Act. While the nation is now reeling from a terrible pandemic, imagine if 17 million more Americans didn’t have healthcare coverage, insurers could still drop people with pre-existing conditions, and charge women and cancer survivors more. While it was important, the ACA was never meant…
Read MoreCommunity health center quality behind the rest of Medicaid
Download the report The good news is that Medicaid health outcome quality measures generally improved in all practice setting from 2016 through 2018. Unfortunately, community health centers (FQHCs) are not doing as well as their counterparts, either other Patient-Centered Medical Home practices (PCMHs), or non-PCMH practices in serving Medicaid members. This data comes from CHNCT’s…
Read MoreMedicaid switch from MCOs saving taxpayers billions
Download the brief here If Medicaid per member per month costs had held steady at 2012 levels, taxpayers would have spent $2.25 billion more by last year. As with most health care in Connecticut, Medicaid spending was rising quickly before 2012 growing by almost half over the prior four years. But in 2012, Connecticut made…
Read MoreCongressional move to rein in innovations that harm people, Connecticut advocates’ SIM concerns addressed in DC
A new bill in Congress, proposed by both Democrats and Republicans, would place controls on federal grants for payment and delivery reform projects. The Strengthening Innovation in Medicare and Medicaid Act was introduced last week to “increase transparency and accountability within the federal Center for Medicare and Medicaid Innovation (CMMI)”. CMMI is the federal agency…
Read MoreEvidence that children with private or Medicaid coverage both at risk of low-value care
A new study finds that both Medicaid and privately insured children frequently receive healthcare services that do not improve health. There has been an assumption that because providers are paid less by Medicaid, they have no incentive to provide unnecessary services. The study, published in Pediatrics, analyzed records from almost 7 million American children in…
Read MorePCMH (no Plus) program continues to grow and improve care
At MAPOC’s Care Management Committee meeting Wednesday, the state provided the latest numbers from the successful Person-Centered Medical Home program. PCMHs are primary care practices that coordinate care for patients, offer expanded hours, and address population health needs. The program continues to grow, adding 52 primary care providers and seven new sites of care in…
Read MoreCTNJ Op-Ed: Connecting hospitals with community services is a good first step
It’s great that Connecticut hospitals are using technology to help busy providers connect patients with community services. Without basics like healthy food and safe shelter, patients can’t heal and healthcare costs rise. But referrals are only the first step. The institutions in communities on the other end of the referrals that provide those critical services…
Read MoreCT state budget spends less on Medicaid than other states, saving $209 million
The latest MACStats data release repeated trends from years ago but held a few new nuggets. Last July 857,415, or one in four, Connecticut residents were covered by Medicaid. Connecticut spent 14.9% of our state budget on Medicaid, below the US average of 16%. Our surrounding states were all above the US average — Massachusetts…
Read MoreFive healthcare issues to follow in 2020
What Connecticut can do in an election year, with a tight budget, in an unsettled economy, and Washington in gridlock Download the details ACOs and provider financial risk Accountable Care Organizations (ACOs) are large and growing systems that touch every aspect of healthcare. They make money by reducing their patients’ care costs. Unlike insurers, ACOs…
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