providers
Primary care spending boost and capitation didn’t work in private plans either
The big idea circulating in some CT health policy circles to control the costs of healthcare is to boost primary care with tons of money and capitate provider payments. Primary care is regular health care for prevention, like check-ups, and common health problems. A new study finds that the idea failed in private insurance, as…
Read MoreOP-ED: Be careful in making changes when the glass is half full
There is good news on Connecticut health spending – and we can use it. Analysis of new data has found, not surprisingly, that Connecticut residents spend a lot on healthcare. But the good news is that our average annual rate of growth, at 1.8%, was the ninth lowest among states from 2013 to 2019. We…
Read MoreGood news on CT healthcare costs
New data from researchers at the University of Washington on state per person healthcare spending finds that between 2013 and 2019, Connecticut’s costs grew at the ninth lowest level among states. We dropped from seventh highest in the US in 2014 to eleventh in 2019. Our growth rate was lower than nearby comparator states and…
Read MoreCTNJ Analysis: Another CT healthcare story of wasted money and missed opportunities
An excellent investigative piece by C-HIT published Tuesday found that the state Office of Health Strategy has squandered $20 million in federal funds and delayed for years a key health improvement system that could be protecting our health today. The C-HIT investigation took the better part of a year, encountered serious roadblocks from OHS, and…
Read MoreBook Club — Noise: A Flaw in Human Judgement
Noise – A Flaw in Human Judgement by Daniel Kahneman, Oliver Sibony, and Cass Sunstein, is long, so it sat on my bookshelf for awhile. But it’s worth the time. Noise is the variation in judgements that shouldn’t vary. Judges should give similar sentences in similar cases, underwriters should find the same expected risks from…
Read MoreCT ranks 3rd in health system performance, but there’s lots of work to do
Connecticut’s health system performance is the third best in the nation, according to the latest Commonwealth Fund State Scorecard. COVID strongly influenced state’s performance; Connecticut ranked tenth among states on seven measures including COVID mortality, health system stress, and vaccination rates. There is a lot of room for improvement in Connecticut’s health system. Sadly, Connecticut…
Read MoreCTNJ Op-Ed: Advice from an advocate for the next OHS Director
Op-Ed: Advice from an advocate for the next OHS Director This week the Lamont administration announced that Vicki Veltri will be leaving state service in a few weeks. She will be missed. Director of the Office of Health Strategy is a tough job. The cost of healthcare is straining every budget in the state, including…
Read MoreMore doctors are moving to corporate and hospital employment, jacking up prices & new WI lawsuit
Movement of physicians from independent practice to hospital and corporate employment accelerated during COVID. By January 1st of this year, 74% of physicians in the Northeast were employed by hospitals or corporations according to a report by Avalere Health for the Physicians Advocacy Institute. Half (52%) of Northeastern physicians work for hospitals and 22% for…
Read MoreHow CT can save $162 million in healthcare waste
An analysis of Connecticut’s commercial insurance markets finds we spent $9.45 per person per month on wasteful low-value care in 2019, according to a new report by VBID Health. Of the $162 million total, $24.5 million was from patient out-of-pocket costs. Low-value care provides no or minimal benefit to patients and is an important driver…
Read MoreMost CT physicians take Medicare patients, but less than US average; implications for payment reform
At 84%, the large majority of physicians in Connecticut take new Medicare patients according to a new analysis by the Kaiser Family Foundation, while 91% take new privately insured patients. The US averages are 89% for Medicare and 91% for privately insured new patients. The analysis was of non-pediatric, office-based physicians in 2015 and 2017.…
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