providers
One in ten CT adults forgo needed medical care due to cost, HR-1 likely to increase that rate
In 2024, 9.9% of adults in Connecticut missed needed care because of cost in 2024, according to an analysis of SHADAC data. That’s better than the US average at 12.4%. Both had been dropping as the number of uninsured fell but began rising again after COVID. Medical inflation has grown faster than general inflation since…
Read MoreCT hospital ED wait times are 4th highest among states, Patient “boarding” to blame
At 191 minutes, the average (median) wait time at Connecticut’s hospital emergency departments (EDs) was tied with New York for 4th worst among states. Maryland was the highest at 247 minutes. The data from the federal Centers for Medicare and Medicaid Services (CMS) covers April 1, 2024 through March 31, 2025. According to CT Public…
Read MoreNebraska starts Medicaid work requirements tomorrow — Lessons for CT
Download this article Advocates, providers, and Medicaid agencies are watching Nebraska this week as they launch work requirements in their Medicaid program. States have been working to implement the complex, federally mandated requirements passed last summer in HR-1, the One Big Beautiful Bill Act. Previous efforts in Arkansas and Georgia failed badly. Unfortunately, while the…
Read MoreFact Check: No correlation between CT hospital Medicaid share and profits
Download the data Connecticut hospitals have asserted that state Medicaid payment rates undermine hospital margins and force higher private plan rates. But the evidence doesn’t support the first assertion and is mixed on the second. As in most states, Connecticut Medicaid hospital payment rates are lower than rates that commercial plans pay. It’s important to…
Read MoreHelp Medicaid members keep healthcare benefits under threat
As federal Medicaid cuts loom, DSS is urging HUSKY and SNAP recipients to update their contact information. The federal budget bill, HR-1, passed in July, included significant cuts to both HUSKY and SNAP. It is expected that thousands of Connecticut residents will lose benefits. The bill also added complex administrative burdens for over 300,000 HUSKY…
Read MoreStudy finds federal Medicaid cuts will drop 114,300 people and cost $8.3 billion in CT
A new study by RAND researchers details the likely Medicaid impact of the One Big Beautiful Bill (HR-1) by state. Connecticut stands to lose $8.3 billion in Medicaid funding, and 114,300 state residents will lose coverage. The report parses the impact by each provision of HR-1 over the next ten years. Nationally, 7.6 million Americans…
Read MoreUpdated: HUSKY and work requirements – How to make it work
Download the update with revisions highlighted Download a clean version We’ve updated our paper with recommendations for implementing federal changes and cuts to Medicaid that becomes effective January 1st of next year. It’s expected that 137,000 Connecticut residents will lose coverage and our state will lose $118 billion over the next ten years as a…
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 MoreReference pricing lowers healthcare prices, could save CT millions
Download the backgrounder Hospital prices are driving up healthcare costs making coverage unaffordable, in Connecticut and across the US. It’s hard to reduce hospital prices, especially in consolidated markets like Connecticut’s, where huge health systems have monopoly power to demand steep prices. But Oregon and Montana have been saving millions annually on just their state…
Read MoreGovernor proposes breaking up OHS
In his budget proposal today, Governor Lamont wisely proposed delegating the many functions under the Office of Health Strategy (OHS) to other state agencies. His goal is “to ensure a comprehensive and cohesive vision for healthcare.” Setting a statewide strategy to improve value in Connecticut’s complex and costly healthcare landscape takes focus and deep data…
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