providers
Survey finds CT ACOs planning services for high need members
Similar to national results, a new survey of Connecticut Accountable Care Organizations for MAPOC’s Complex Care Committee by the CT Health Policy Project finds that most are using multiple methods to identify high need members. But they are still working on implementing effective programs to address the needs. Many of their plans follow best practices…
Read MoreHealthcare workforce growing faster than rest of employment
In good news for healthcare workers, from September 2018 to 2019, Connecticut healthcare employment grew by 1.75%, or 3.8 times faster than total non-farm employment. One in eight Connecticut workers is employed in healthcare. Healthcare grew even faster nationally, by 2.66% vs. 1.50% for all workers. One in six US workers is employed in healthcare.…
Read MoreMedicaid transportation gets a closer look
For the second month in a row, MAPOC focused in on the Medicaid transportation contractor’s performance Friday. Questions about Veyo, the contractor, have persisted since they were chosen by DSS. There were more questions than answers at Friday’s meeting, including what terms mean in the report. The number of rides the state is getting for…
Read MorePublic comment open for CT health planning data
The state Department of Public Health is in the midst of planning for improving the health of every Connecticut resident in 2025. DPH regularly refreshes their plan through a very thoughtful process that is a model of inclusiveness and data-driven policymaking, especially for Connecticut. Other agencies should take note. Right now, the draft State Health…
Read MoreCTNJ: Analysis — How industries influence healthcare spending, and it’s working
There are a thousand ways that healthcare is different than other economic sectors and those differences keep the market from working to keep care affordable. . . . An important way the healthcare market fails is that industries have powerful tools to drive the prices and use of their products that most consumers aren’t aware…
Read MoreCT insurers lost enrollment in 2018, Spent 89% of premiums on medical care
There were 332,015 fewer Connecticut residents with commercial insurance coverage last year than in 2017, according to the latest Consumer Report Card from the CT Insurance Department. All insurers lost enrollment. The report also includes important information for consumers including member satisfaction performance, numbers of participating providers by county, medical measures such as cancer screens,…
Read MoreThirty medically complex children stuck in CT hospitals waiting for home health care cost state over $100 million
Last week, MAPOC’s Complex Care Committee heard from the three remaining home health agencies that provide care for Connecticut’s most medically complex children. We heard about the massive challenges facing both families and agencies. Most parents caring for medically complex children are single mothers due to high divorce rates, who cannot work because of inconsistent…
Read MoreCT healthcare price variation varies
Prices vary by city and for selected healthcare treatments, in some cases substantially, according to Healthscore CT, using the new All Payer Claims Database from the CT Office of Health Strategy and UConn Analytics and Information Management Solutions. The site provides important information on cost and quality for consumers and payers shopping for healthcare services…
Read MoreCTNJ: A recession is coming and it could hit Connecticut healthcare hard
While President Trump disagrees, a recent survey found that three in four economists expect the US economy to enter a recession by 2021. Recessions are a natural part of the economic cycle – it’s not a question of whether it will happen, but when. The last recession, in 2008, hit Connecticut especially hard, and in…
Read MorePCMH + risk scores suggest possible gaming or worse; Advocates call on DSS to delay expansion to protect members and taxpayers
A new analysis of PCMH + members’ risk scores finds unexplained increases compared to the control/comparison group that could signal ACO gaming of the system for financial gain and/or, far worse, a decline in the health of members in the program. PCMH Plus, a controversial new payment model, allows ACO (large health systems) to share…
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