Medicaid
Medicaid update: Quality was rising through 2016, raising concerns about PCMH+
Friday’s MAPOC meeting focused on Medicaid quality and access information from CHNCT, DSS’s administrative contractor for the program. Across the 12 (of over 100) quality measures chosen, there was modest but sustained improvement from 2014 through 2016. However community health center performance consistently lags behind other PMCH practices across the quality measures. Of particular concern…
Read MoreCT and surrounding states provide better than average quality care to Medicaid members
CMS has published a new Medicaid/CHIP scorecard to promote accountability and transparency in states’ programs. The site allows comparisons of state enrollment, eligibility, and access to relevant documents (state plan amendments and waivers) and expenditures. Most interesting is comparisons by state across adult and child health quality metrics for 2016. Like our neighboring states, CT…
Read MoreRest of US catching up with CT – Medicaid managed care doesn’t work
Two Health Affairs blog posts highlight the disappointments states are having with their capitated Medicaid managed care programs. Managed care across the US is growing fast, making big profits for private insurance companies, promising improved health outcomes and lowering costs. But CT found exactly the opposite effect when we shifted away from capitated managed care…
Read MorePCMH+ update – DSS still plowing ahead despite lack of monitoring or evaluation
Despite DSS’s declaration that Wave 1 of PCMH Plus is a “substantial success”, there was nothing meaningful to support that view at MAPOC’s Care Management Committee meeting last week. Lacking information, DSS has rushed ahead anyway to significantly expand the program by 174%, raising enrollment from 66,325 to 181,902 this month. PCMH Plus is DSS’s…
Read MoreCTNJ: Healthcare questions for Connecticut’s Next Governor
How will Connecticut’s next governor fix the state’s healthcare system? It’s a big job but they will have a lot more leverage and power than many appreciate. Read more
Read MoreUpdated data from DSS call center – wait times are 107 and 105 minutes, not 2 minutes
In response to a Freedom of Information request, advocates learned last week that 56% of callers waiting to talk to a human at DSS’s benefits center chose to hang up in both March and April of this year. That’s probably because average wait times for the benefits center were 107 and 105 minutes, in March…
Read MoreACA Medicaid expansion benefits to CT include fewer uninsured, lower ED use, access to behavioral healthcare
A new analysis by the CT Health Foundation outlines the “unqualified success” of CT’s HUSKY expansion. In 2010 CT was the first state to exercise the Affordable Care Act option to expand Medicaid to low income, childless adults, labelling the new population HUSKY Part D. The expansion was largely responsible for cutting CT’s uninsured rate…
Read MoreMedicaid missing data concerns
Friday’s Medicaid Council meeting focused on concerns with Veyo, the state’s new transportation contractor, and DSS operations performance, especially ongoing call center problems. Unfortunately, we are getting even less data than in the past. Veyo’s presentation did little to counter the landslide of complaints from consumers and providers about the transportation system and missing data…
Read MoreWorking parents can keep HUSKY coverage
The consensus state budget passed late yesterday includes full restoration of eligibility for current HUSKY parents. Over 13,000 working parents with incomes up to 155% of the federal poverty level ($32,209 this year) will keep coverage under the HUSKY program. Also in the budget is funding to cover out-of-pocket health costs for low income seniors…
Read MoreCalls needed to save healthcare for 13,000 working parents
Unless legislators act soon, 13,000 working parents will lose HUSKY coverage this coming January 1st. Sally Grossman, one of those parents with two small children, runs her own house painting business. According to Sally, “Every year I do a little better. But if I earn over $28,000, I lose my health insurance.” Click here for…
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