Patient Centered Medical Home Resources
DSS publishes a consumer-friendly PCMH description
For last week’s MAPOC Consumer Access Committee meeting, DSS developed a clear and simple descriptionof Person Centered Medical Homes (PCMHs). The presentation focuses on what person-centered means – both provider and member responsibilities. Members learn what they can expect from providers, and what is expected of them. “Care is organized around you” balanced with “Support…
Read MoreAdvocates’ concerns to preserve PCMHs in Medicaid reform rejected
Last week independent advocates sent a letter to DSS urging them to preserve and support person-centered medical homes (PCMHs) in Medicaid redesign, but unfortunately our concerns were dismissed by the administration. PMCHs are the only reform that has extensive support in the literature as improving both access to quality care and success in controlling costs.…
Read MoreSurvey of CT ACOs – early yet, good intentions but uncertain future
Together with the Hartford Business Journal, the CT Health Policy Project conducted the first survey of CT ACOs finding some unexpected findings. ACOs are networks of providers across the continuum that coordinate high-quality care for people and receive a share of the savings they generate. ACOs are a foundation for efforts to reform health care…
Read MoreSIM’s CCIP proposal for Medicaid reform – poor process drives weak plan
Public comments from the CT Health Policy Project raise deep concerns about SIM’s proposal for Medicaid reform requirements could undermine hard-won successes in the program and may not achieve the goals. The Community and Clinical Integration Plan (CCIP) is SIM’s plan for community-based resources to support Medicaid advanced networks that will be sharing in savings…
Read MoreAdvocates urge SIM not to disrupt successful Medicaid PCMH program
In a letter to SIM steering committee members, the Medicaid Study Group urged support for DSS’s decision to build Medicaid reforms on the successful person-centered medical home program. Specifically the Group applauded DSS’s decision to only include members served by certified PCMHs in the new, untested shared savings model being planned for Medicaid. The Medicaid…
Read MoreAdvocates’ guide to underservice recommendations
Connecticut’s State Innovation Model (SIM) is seeking to radically transform our state’s $30 billion health system by aligning incentives to build value. SIM has chosen a shared savings payment model for those reforms. Advocates are concerned about incentives to deny necessary care under the new payment model, as happened in the past. SIM’s Equity and…
Read MoreAdvocates’ guide to underservice recommendations
SIM is seeking to radically transform our state’s $30 billion health system and has chosen a shared savings payment model for those reforms. Advocates are concerned about incentives to deny necessary care under the new payment model, as happened in the past. SIM’s Equity and Access Council was charged with developing protections to limit and…
Read MoreWebinar online – Caring for high-need patients – Lessons for CT
Evidence is growing that we cannot fix our health care system without addressing the needs of the small number of patients with very complex and costly health problems. Connecticut can learn from other programs across the US as we build reforms for our state and our Medicaid program. On this week’s webinar we heard from…
Read MoreHealth reform update – the power of price transparency, more SIM concerns
At an important Public Health Committee hearing Wednesday, Senate leaders from both parties testified together on a slate of seven bills that would make a great start to reforming health care in our state. Among other things the bills address facility fees, price variation that has no relation to quality, hospital consolidation oversight, EMR assistance…
Read MoreSIM update – PCMH standards undermined, weak ethics adopted, but underservice group is moving forward
Again, SIM takes one step forward but two steps back. At yesterday’s steering committee meeting, SIM adopted an ineffective, weak conflict of interest policy, without a vote or any discussion. The policy would allow members to bid on significant SIM contracts that they had a substantial role in defining, potentially advantaging their company, provider or…
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