quality
Health equity state scorecard finds CT compares well, but needs improvement
Connecticut ranks fifth best among states on overall health equity according to the Commonwealth Fund’s latest state scorecard, but every state has a lot of room for improvement. While whites in Connecticut scored in the 97th percentile for health system performance nationally, Latinx/Hispanic state residents scored at the 68th percentile, and Blacks in Connecticut scored…
Read MoreICER report on fair access to drugs prompts six insurers to change coverage policies
A powerful new scorecard from the Institute for Clinical and Economic Review (ICER) assessing 15 of the largest US formularies for barriers to accessing 28 fairly-priced drugs found generally good policies for clinical standards (96% are fair), step therapy (99%), and prescriber restrictions (100%). However, the report found poor policies for cost sharing tiers (77%)…
Read MoreOHS primary care committee sharply critical of agency’s plan
In this month’s meeting of the Office of Health Strategy’s Primary Care Subgroup, patient and consumer advocates joined insurers raising very strong concerns about OHS’s plans and capacity to implement the agency’s plan for primary care in Connecticut. OHS plans to double the share of Connecticut’s healthcare spending on primary care while tightly restricting growth…
Read MoreCost Cap primary care project only focusing on raising spending, not services
At the October 26th Primary Care Subgroup meeting, in response to questioning by a member, the Office of Health Strategy’s (OHS) consultants repeatedly confirmed that the goal of the Cost Cap provision on primary care is solely to raise spending, not to increase services. Members raised serious concerns about sending more money into the current…
Read MoreCT ranks 15th among states in healthcare affordability, but that’s not saying much
Connecticut has implemented many policies to make healthcare affordable; unfortunately, they aren’t working. According to Altarum’s new Healthcare Affordability State Policy Scorecard, Connecticut earned 43.1 out of 80 possible points. There is a lot of room for improvement. Altarum ranked states on adoption of policies that can impact affordability and on outcomes, whether care is…
Read MoreSign on letter voices deep concerns with primary care capitation
Today twenty-five independent advocates and providers signed a letter to the Office of Health Strategy opposing capitation of primary care services across Connecticut. The letter shares serious concerns with the Office of Health Strategy’s (OHS) plan to shift all primary care in Connecticut to a capitated payment model. The current concerns echo advocates’ and legislators’…
Read MoreCTNJ op-ed: Patient-centered or doctor-centered? Primary care planning is off track
Several state agencies and their committees are planning to expand primary care in Connecticut – that’s a good thing. But it’s being driven by primary care doctors and their needs rather than patients. Read more
Read MoreBook Club – In Defense of Troublemakers: The Power of Dissent in Life and Business
I’ll admit I bought In Defense of Troublemakers to find validation for advocates. Our job is to “comfort the afflicted and afflict the comfortable.” But the book goes much farther. It makes the case that dissent is critical to good decision-making. Our society values consensus – it makes people happy and gets to decisions far…
Read MoreConnecticut hospital systems vary in reducing low-value care
A new report published in JAMA Internal Medicine on low-value care provided to Medicare beneficiaries at the health system level offers actionable tools to improve effective care on the ground. Healthcare services that provide little or no health benefit, may harm patients, increase costs, and waste resources are low-value. Examples include prostate specific antigen testing…
Read MoreOnly one CT hospital makes social responsibility honor roll
Among Connecticut hospitals, only William Backus received A’s on health equity, the value of care, and health outcomes, according to the latest Lown Institute Hospital Social Responsibility Index. Backus ranked #71 among US hospitals overall. The Index scores over 3,000 US hospitals on their performance in responsibility to their community. Seventy-five US hospitals, including Backus,…
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