PCCM
CT Medicaid admin costs are 5th lowest in the nation, but CT fully insured plans are the 5th highest
Connecticut Medicaid spent $467 less per person in 2023 on administration and corporate profit than all most states, according to a new study published in Health Affairs. However, state residents in fully-insured health plans spent $412 more for administration and profit than most Americans, according to the authors from Brown University. In fully insured plans,…
Read MoreCTNJ: Advice to CT’s next Medicaid Director
Welcome. You’re taking on a big job at a difficult time. Your program covers healthcare for one in five state residents and is about a quarter of the state budget. But we’re in a very good place and you’ll have lots of help. The good news first. Read more
Read MoreAnalysis: The real goal of Medicaid work requirements
An old saying goes, there’s no right way to do the wrong thing. I hope that’s not true. Connecticut has to implement a requirement in HR-1, the new federal budget act, that 340,000 adults on Medicaid must work to keep their healthcare coverage. This wasn’t our idea; our policymakers didn’t vote for it. But we…
Read MoreHUSKY and work requirements – How to make it work
Download the full report The largest cut in the new federal budget bill is Medicaid work requirements. It’s expected that 137,000 Connecticut residents will lose coverage and our state will lose $118 billion over the next ten years. If history repeats, most will lose coverage in error – they will be working or exempt Only…
Read MoreMedicaid chapter in CT Healthcare Explained updated
We’ve made a massive update to the Medicaid chapter of CT Healthcare Explained. The update was prompted by new numbers and updated performance. We also included the significant changes to the program required by the budget bill passed by Congress and the Trump administration this month. We also included a description of Connecticut’s decision not…
Read MoreReform section updated in CT Healthcare Explained
We’ve updated the Reform chapter of CT Healthcare Explained, our explainer website cutting through the complexities of our state’s healthcare system. Like the other 17 topic sections, Reform includes a Basics summary and a much longer Deeper Dive into the issue. In the left hand box, you can skip to your specific question. There is…
Read MoreHUSKY still very efficient but drugs are driving up costs
Read the full report Like other states, Connecticut Medicaid per member costs are beginning to increase after dropping during COVID. However, Connecticut’s rate trend remains better than other states. Since switching from managed care organizations in 2012 to focus on care management, Connecticut Medicaid spending stabilized while enrollment expanded significantly, according to the state’s latest…
Read MoreDSS’s comprehensive HUSKY report finds a very strong program, with plans to improve
In response to 2023 legislation, on Tuesday DSS provided a 72-page comprehensive description and analysis of Connecticut’s Medicaid program to MAPOC, the program’s oversight council. The report also includes DSS’s strategy to improve the program and members’ health. The report finds that the program’s performance is very strong. “Overall, the Medicaid program achieves good quality…
Read MoreMaterials from webinar on improved HUSKY cancer survival in CT without MCOs
Yesterday, Dr. John Cramer described his study published earlier this year describing a significant increase in cancer survival and early detection in Connecticut’s Medicaid program when the Managed Care Organizations left in 2012. Click here for slides and here for a recording of the webinar. The study — Association of Medicaid Privatization With Patient Cancer…
Read MoreAnalysis: DSS Study Suggests MCOs don’t Make Sense for HUSKY
Last Friday, the state released a consultants’ report exploring the Governor’s controversial plan to bring private insurers back to run Medicaid in Connecticut. The report’s authors agree with advocates that there is no evidence that MCOs control costs or improve quality or access to care. They also agree that HUSKY, our state Medicaid program, is…
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