Medicaid
NC employers buying into Medicaid patient-centered medical home system, CT NASW job posting
NC’s Medicaid patient-centered medical home network is so successful that large employers, including state employees, in the state are buying in for their workers. Bucking the private HMO-style managed care trend of other states in Medicaid, NC has had impressive improvements with a community-based PCMH network in improving access to and quality of care while…
Read MoreGov. Malloy letter outlines impact of federal debt ceiling crisis on CT and a better option for Medicaid savings
In a letter to Congressional leaders sent Friday, Governor Malloy estimates the harm to CT from proposed Medicaid state funding and GME cuts. As an alternative, he offers a proposal by MD Governor O’Malley for gainsharing between Medicare and Medicaid that would save as much as the current proposals but would improve options and ease…
Read MoreHealth cuts in budget deal
The new plan to balance the state’s budget was unveiled Friday. Proposed cuts touch most areas of state spending, including health and the safety net. The Governor’s office was clear that these cuts were not their first choice and they worked hard to avoid making them. Health care cuts include $7.7 million in Medicaid fees…
Read MoreMedicaid Council update
Friday’s Council meeting was mixed. DSS described their process for developing person-centered medical homes — a far better name. Their provider advisory group will be guiding the department in choosing which PCMH standards providers will have to meet, how they will be paid and the outcomes they will be measured against. Doctors are well-represented (a…
Read MoreComments on federal ACO proposal, Changing Face of Medicaid
CMS has issued the proposed rule under national health reform to implement Accountable Care Organizations (ACOs) for Medicare beneficiaries. ACOs are a new way of paying for health care, moving away from fee-for-service to paying for value. An ACO is a network of health care providers spanning the care spectrum paid to provide for all…
Read MoreFixing Medicaid: Healing CT’s Largest Health Care Program
Access to care in CT’s public programs has always been a struggle; it is difficult to find a provider who takes Medicaid. In 2008 CT significantly raised Medicaid payment rates but a report by the CT Health Policy Project before, during and after the increase found that physician participation in the program didn’t improve. With…
Read MoreDSS implementer bill allows agency to cut benefits without legislative approval
Section 116 of SB 1240, passed by the Senate yesterday, would allow DSS to cut benefits provided to consumers in the LIA program, formerly known as SAGA. Cuts could include, but is not limited to, office and hospital visits, therapy services, medical equipment and supplies, medications, non-emergency medical transportation, and home care. If unchanged, the…
Read MoreConnecticut patient-centered medical home first adopters
Transforming a busy medical practice into a patient-centered medical home (PCMH) can be daunting but the benefits are worth it, according to a report by CTHPP intern Kim Kushner. With 113 NCQA recognized patient centered medical homes, CT is far behind surrounding states. Kim interviewed a solo practitioner, a safety net community health center and…
Read MoreMedicaid Council update
Today’s Medicaid Council meeting was overwhelming – DSS has made a lot of very detailed decisions about how to structure and finance the Integrated Care Organization (ICO) proposal for dual eligibles and outlined them in 45 complex slides at the meeting which were not made available at the time. After the meeting, Comm. Bremby stated…
Read MoreAlternate budget ugly, especially for working parents’ health care
Budget options being considered by the administration if negotiators are not able to agree on labor concessions include cutting HUSKY parent eligibility from the current 185% of the federal poverty level ($34,281/yr for a family of three) to 133% ($24,645 for that same family). The Rowland administration made a similar cut in 2003, causing thousands…
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