Book Club: Deaths of Despair and the Future of Capitalism

By Anne Case and Angus Deaton Reversing a century of progress, life expectancy has fallen for three years in a row but only in the US. Rising rates of suicide, drug overdoses and alcoholism are largely to blame. There were early media reports about the trend, but this detailed yet readable book goes much farther.…

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Update: OHS committee slightly eases unrealistic cap for CT healthcare costs

In response to stakeholder concerns, at their July 29th meeting the Office of Health Strategy’s (OHS) Technical Team choosing the cap for future Connecticut healthcare costs eased their previous decision on how much healthcare costs for every state resident will be allowed to increase over the next five years. Many stakeholders have voiced concerns that…

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Comprehensive updated resource on Connecticut’s health landscape from DPH, get involved

Almost one in six Connecticut children are food insecure and the number of state residents newly diagnosed with HIV has been dropping since 2010, according to the Dept. of Public Health’s new 2019 State Health Assessment. In 2017, 14.4% of Connecticut high school students used e-cigarettes, up from 2.4% in 2009. Over one in four…

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Cost cap update – possible easing on growth cap but primary care target proves difficult

In response to concerns from many sources about potential harm to people, the Office of Health Strategy (OHS) is considering easing the proposed caps on the growth of all healthcare spending. In the latest Technical Team meeting, OHS and Bailit, the consultants running the project, said they would consider starting the cap next year higher…

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One in three CT residents reported anxiety or depressive symptoms in June

Since the pandemic started, more people are reporting symptoms of mental illness. According to the Kaiser Family Foundation, 19% of Connecticut residents are experiencing mental illness and 36.6% report depressive or anxiety symptoms last month. Connecticut adolescents are twice as likely to report a major depressive episode as adults but adults are three times more…

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Study finds PCMHs cost less, fewer ED visits than ACOs

A new analysis finds that total healthcare costs and ED visits are significantly lower for adult patients of Patient-Centered Medical Homes (PCMHs) than for Accountable Care Organizations (ACOs), hybrids (both PCMHs and ACOs), or standard care (from facilities that are neither). PCMH patients had the lowest average total cost of care, 23% lower than standard…

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Unique hospital ranking includes community and value of care with traditional quality metrics

The Lown Institute now ranks hospitals on 53 metrics that impact both individuals and communities. Typical hospital rankings consider only care for individual patients, not how hospitals serve their communities. Backus does best among 26 Connecticut hospitals at 84th of 3,282 US hospitals; Greenwich ranks lowest in the state and 2,635th in the nation. There…

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Improve health policymaking — Nominate a claim for fact checking

In Connecticut state policymaking committee meetings, advocates routinely hear questionable claims stated as facts. Often very important caveats and context are left out. As non-members, we have no opportunity to question the claim or correct the misinformation. Too often policy is made based on these un-challenged claims. For twenty years, the CT Health Policy Project…

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Racial bias is pervasive in medical guidelines for care

A new study has found that racial inequities are unintentionally baked into algorithms, flowcharts of decision points that assess patient risks, used by providers to determine who will benefit from what care. A previous study found that a widely-used algorithm that predicts which patients will benefit from care management was unintentionally biased against black patients.…

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OHS committee chooses unrealistic cap for CT healthcare costs

The Office of Health Strategy’s (OHS) Technical Team choosing the cap for future Connecticut healthcare costs has decided on a 3.1% allowed increase for next year, dropping over time to 2.7% by 2025. To illustrate the impact of the cost cap, consider the significant variability in Connecticut’s per capita all-payer total healthcare cost increases from…

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