PCCM
Patient-Centered Medical Home updates
There are several opportunities in the new federal health reform act for CT to embrace, and fund, patient-centered medical homes. Currently, CT has no (zero) medical homes certified by NCQA, the national accrediting body. The SustiNet patient-centered medical home committee is considering the options and how they fit with Connecticut’s unique health care environment. At…
Read MoreMedicaid Managed Care Council update
We ran out of time at Friday’s Council meeting, so we will devote the entire June meeting to discussing how the state plans to implement the new budget provision to self-insure the HUSKY/SAGA/Charter Oak program. Some of the decision points are whether to keep the program capitated but without financial risk (not sure how that…
Read MoreMedicaid Managed Care Council update
Friday’s Council meeting was relatively uneventful. We started with a wonderful outreach video by CT’s Healthy Start programs describing the important work they do supporting at-risk pregnant women and connecting them to the care they need to ensure healthy births. (Advocates think it would be a good idea to start every Council meeting with babies…
Read MoreNew OLR report finds PCCM succeeds, saves money in other states
A new report by the legislative Office of Legislative Research outlines enrollment, savings and impact on hospital visits in states that have implemented Primary Care Case Management (PCCM). PCCM is a different way of running Medicaid managed care plans (HUSKY in CT) used in thirty states. PCCM does not involve HMOs, but rather rests on…
Read MorePCCM Subcommittee update
At today’s PCCM subcommittee of the Medicaid Managed Care Council, DSS unveiled their plans for the Mercer evaluation of the program to be completed by July 1st. Advocates raised many concerns including: · The inability to get any meaningful information on health outcomes with only 200 members on average over the last year · A…
Read MoreMedicaid Managed Care Council meeting update
Friday’s Council meeting was uneventful. After a year, there are 342 people in PCCM/HUSKY Primary Care; legislation requires at least 1,000. Despite that, DSS is steaming ahead on plans to evaluate the program by July 1st. It is fascinating that they are just now deciding to comply with deadlines in this program – they have…
Read MorePCCM bill public hearing
Tuesday the Human Services Committee heard HB-5297, An Act Concerning Statewide Expansion of the Primary Care Case Management Pilot Program. The bill would, as the title says, expand PCCM statewide as of October 1st and delay the planned evaluation of the program until next year. Advocates have raised concerns about DSS’ plans to evaluate the…
Read MorePCCM forum highlights DSS barriers to implementation
Friday the Appropriations Committee heard about DSS’ lack of progress in implementing the PCCM option for HUSKY passed into law three years ago. The panel included Dr. Patrick Alvino, a pediatrician practicing in Branford, who would like to participate but because PCCM is not statewide he and his 2,000 patients do not have the option.…
Read MoreFebruary webquiz – PCCM/HUSKY Primary Care
Test your knowledge about CT’s PCCM program — HUSKY Primary Care. Take the February CT Health Policy Webquiz. This month’s quiz was developed by Sabina Klein, CTHPP Student Fellow and soon-to-graduate Yale senior. Sabina is one of the “army” of students/volunteers working to get out the word about this exciting new option for HUSKY families.…
Read MoreMedicaid Managed Care/PCCM update
Today’s Medicaid Managed Care Council included an update on PCCM given the expansion to New Haven and Hartford January 1st. It was noted that there has been great interest among providers with 122 signed up in New Haven and 47 in Hartford so far and more applications expected. Unfortunately, DSS has refused to remove the…
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