providers
Comments needed on federal proposal to erode medical debtors’ rights
The National Consumer Law Center is asking people who care to submit public comments on the US Consumer Financial Protection Bureau’s proposed debt collection rule. Medical bills are the biggest cause of bankruptcy and the top reason for contact by collections. Unfortunately, that burden falls very heavily on Connecticut residents. Health insurance premiums for both…
Read MoreLarge study finds selection bias in Medicare shared savings erases savings and quality improvements – advocates saw this coming
Researchers from the University of Michigan found that the modest savings and quality improvements reported by Medicare’s extensive shared savings program (MSSP) are likely due to adverse selection. High cost clinicians and beneficiaries were far more likely than others to exit the program. When adjusted for the selective bias in MSSP exit, reported savings and…
Read MorePCMHs in CT – not the “shiny new toy” anymore but moving forward improving care, controlling costs
Ten years ago, patient-centered medical homes (PCMHs) were exotic in Connecticut. PCMHs are one of the best documented innovations to improve health. PCMHs are primary care practices that help keep people well by assessing needs, coordinating care, and giving people the skills and resources to maintain their own health. As a nurse managers told me,…
Read MoreNew PCMH + plans overlook past problems
Wednesday DSS and Mercer unveiled their thinking about plans for Wave 3 of PCMH Plus, Medicaid’s controversial shared savings program. Results from PCMH Plus’s first year, Wave 1, were disappointing with increased state costs and little evidence of improvement in quality. Based on the problems identified in Wave 1, advocates made recommendations to fix those…
Read More2019 Connecticut legislative session – what happened and what didn’t happen
Download the full report Connecticut’s General Assembly debated an unusually large number of health-related proposals this year. Some were new and some have been debated for years. Some passed, some were rejected, and some are on hold for next year. As of this writing, only the minimum wage increase bill has been signed into law…
Read MoreState budget deal restores coverage for 4,000 HUSKY parents, a move toward quality-based payments, and insurance protections
Policymakers have reached a $43 billion state budget deal to cover the next two fiscal years, on-time before the end of the session. For health policy folks, there is a lot to like in the deal but a few notes of caution. The best part is a partial restoration of HUSKY parents’ eligibility cuts from…
Read MoreYNHH transportation plan for controversial primary care shift troubling, concerns remain
Monday, Yale-New Haven Health System answered the state’s eighth set of questions about their controversial application with the Hill Health and Fairhaven Health Centers to move primary care for 25,000 mainly low-income New Haven area residents out of the current neighborhood sites to Long Wharf. Among many concerns voiced by patients, advocates and community leaders…
Read MoreCT Healthcare Jobs Pay Very Well
Among the top 12 highest-earning Connecticut occupations last year, 11 are doctors, dentists or nurses, according to the Bureau of Labor Statistics. Chief Executives is the only non-healthcare occupation to crack the top 12 list. Lowest paid healthcare workers included Personal care assistants (20th from the bottom) and Home health aides (28th from the bottom).…
Read MoreBetter, safer ideas to support primary care in Connecticut
Download the report Primary care is the foundation of the health system. It is, or should be, patients’ first interaction with the healthcare system for non-urgent issues. There is strong evidence that care coordination linked to primary care practices, such as patient-centered medical homes (PCMHs), foster improved health while lowering costs.[i] Areas with more primary…
Read MorePractical Wisdom – The Right Way to Do the Right Thing
New to the Book Club Why do our institutions and systems, including healthcare, seem to be getting more complex and more costly but not better? This fascinating book argues that we have lost practical wisdom – the ability to balance the need for reasonable rules and standards with doing the right thing. The law of…
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