PCCM
New OLR reports on PCCM, HUSKY employers
According to OLR, in 2004 when Oklahoma switched from HMOs to PCCM to run their Medicaid managed care program, the state saved money and access to primary care improved. An evaluation of OK’s program by Mathematica found that under PCCM the number of participating primary care providers rose 44%, patients’ office visits nearly doubled, avoidable…
Read MorePatient-centered medical home briefing
Medical homes have been featured prominently in federal and state health reform plans. Join us for a policymaker briefing on what the patient-centered medical home concept is and how it might work in CT on Friday June 19th at 12:30 pm in the Old Judiciary Room at the State Capitol in Hartford. Speakers include Suneel…
Read MoreNY medical home provides impressive, efficient care
Yesterday I visited the Queens-Long Island Medical Group office in Flushing, NY. The office is the first NCQA-accredited patient centered medical home in the US. Flushing is a colorful, bustling community; 70% of community residents are Asian. Despite the swine flu outbreak, the office was quiet and calm as it was on my first visit…
Read MoreMedicaid Managed Care Council/Charter Oak update
The news from today’s Council meeting is that while Charter Oak’s enrollment continues to increase – 8,210 as of May 1st — the number of people denied coverage under the program is far higher — 18,635 so far. While 705 of those were denied because they have coverage or have had it in the last…
Read MorePCCM subcommittee to meet
At the last Medicaid Managed Care Council meeting, a subcommittee was formed to follow and advise DSS on implementation of the HUSKY PCCM program. The first meeting of that subcommittee will be May 20th at 10am in Room 3800 of the Legislative Office Building (LOB) in Hartford. For directions to the LOB, click here. The…
Read MoreMedicaid Managed Care Council update
At today’s meeting, ACS reported that there are 337,533 CT residents covered by HUSKY Part A as of April 1st, up more than 6,000 from March. HUSKY Part B now covers 15,063, moving back toward its pre-July 08 levels. There are also 7,068 people covered by the Charter Oak Plan, however 3,319 Charter Oak applications…
Read MoreHUSKY waiver hearing – good and bad news on PCCM
As expected, yesterday’s Medicaid waiver hearing before the Human Services and Appropriations Committees was contentious and long. DSS brought out the troops – I counted nineteen staff in the room and they flew in two actuaries from Mercer. CMS also came in from Boston. DSS began with a rosy, but incomplete, description of the program…
Read MoreHUSKY waiver hearing tomorrow; DSS proposal kills PCCM
The Human Services and Appropriations Committees are holding a public hearing tomorrow, March 31st, at 1pm in the LOB Room 2C on DSS’ proposed HUSKY waiver. Sign up begins at 11am in Room 2700; bring 50 copies of testimony. The waiver draft codifies DSS’ reversed course from the legislatively approved PCCM plan and limits the…
Read MorePCCM waiver hearing March 31st
Next Tuesday the Human Services and Appropriations Committees will hold a public hearing on DSS’ proposed waiver application to continue to run the HUSKY program. Click here for our comments. The notable part of DSS’ application is the decision to limit Primary Care Case Management (PCCM) to Waterbury and Willimantic and to only a select…
Read MoreMedicaid Managed Care Council/PCCM update
At Friday’s Council meeting DSS announced that not only did they default HUSKY families in Anthem and traditional Medicaid to only the two new HMOs – Aetna and AmeriChoice — but that they will continue defaulting into only AmeriChoice all through February. Reportedly 63,000 HUSKY members were defaulted on February 1st.The reason given is to…
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