Wandering around in OHS’s databases – lots to learn and a surprise

Our state Office of Health Strategy has several impressive portals and dashboards to explore their trove of data and other information. They include healthcare affordability, ED visits, quality ratings, facility plans, self-sufficiency tools, hospital finances, prescription drug costs, and Race, ethnicity and language data. Visitors can sort the data by service, payer, age, gender, and…

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ICER’s 4th annual report finds progress in fair access to prescription drugs

Over the last four years, barriers facing patients getting access to cost effective drugs in commercial plans and the Veteran’s Administration have gotten better, according to ICER’s fourth annual Barriers to Fair Access report. The authors compare plan policies, including cost sharing, clinical eligibility, step therapy and provider restrictions, to independent standards for fair access…

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More questions and answers on DSS’s plan for HUSKY maternity bundles

Read the new questions and answers DSS is planning to move Medicaid payments for maternity services from the current fee-for-service arrangement to a per-person bundled payment. They will also expand services to include doula and lactation supports. However, advocates have asked questions and raised concerns about unintended consequences when providers make more money by reducing…

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Materials from webinar on improved HUSKY cancer survival in CT without MCOs

Yesterday, Dr. John Cramer described his study published earlier this year describing a significant increase in cancer survival and early detection in Connecticut’s Medicaid program when the Managed Care Organizations left in 2012. Click here for slides and here for a recording of the webinar. The study — Association of Medicaid Privatization With Patient Cancer…

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Webinar: Study finds improved early cancer diagnosis and survival after MCOs left HUSKY

Join Rep. Jillian Gilchrest and Sen. Saud Anwar, Co-Chairs of MAPOC, for a webinar December 10th at 2pm with Dr. John Cramer on his study published in JCO Oncology Practice in January. His study found that cancer early detection have increased 4% and survival rates have increased 8% since MCOs left Connecticut Medicaid. There was…

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Book Club: Revenge of the Tipping Point

Malcolm Gladwell revisits his 2006 classic in the new Revenge of the Tipping Point: Overstories, Superspreaders, and the Rise of Social Engineering. He expands and updates the original premise – that ideas and trends grow slowly, like a pandemic, until they hit a point where they go viral and radically change the context around the…

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Sign on letter critical of biased consultants for HUSKY MCO study

On Friday, thirty-five organizations, advocates, and HUSKY members sent a letter to Governor Lamont raising concerns about the choice of Manatt, Phelps & Phillips as consultants to conduct the Medicaid survey and make recommendations. Concerns center on Manatt’s record of support for toward returning Managed Care Organizations (MCOs) in Medicaid programs. That’s a record number…

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Former Medicaid official offers options to improve the program and a warning

Recently retired from DSS, Steven Colangelo answered the state’s invitation for recommendations to improve HUSKY. He worked at DSS more than 31 years, 10 in Medicaid, focused on the quality of care. His tenure crossed numerous state administrations and seismic shifts in Medicaid policy at the federal level. Steven opposes current state plans to return…

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Advocates’ comments to improve Medicaid

In response to DSS’s invitation for comments, last week four consumer advocate members of CT’s Medical Assistance Program Oversight Council (MAPOC) offered constructive recommendations to improve the program. The authors acknowledge the success of Connecticut’s Medicaid program as a national leader in cost control, access and quality of care. The authors strongly recommend against returning…

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