Join Medicaid EPSDT Grand Rounds

CT 359 will host a panel of experts and commentators on EPSDT:  Medicaid Federal Impacts, Developmental Screening, and Practice Insights on Tuesday, February 11th from 9:30 to 11am via Zoom. CT 359 is a coalition of twenty nonprofits, government agencies, and universities dedicated to ensuring that all children in Connecticut are thriving by ages three,…

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Analysis: Hartford HealthCare Settlement with St. Francis Still Leaves Two Important Class Action Suits Active

CT News Junkie reports that St. Francis Hospital and Medical Center has reached a settlement with Hartford HealthCare in their lawsuit alleging unfair business practices. It’s good that St. Francis’s complaints as a competitor have been addressed, but the concerns of consumers and payers are still outstanding in two class action lawsuits against Hartford HealthCare.…

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Analysis: Despite the name, value is not the solution for raging healthcare costs

The murder of a United health executive has intensified very strong reactions to America’s broken healthcare system. Unfortunately, too many opportunists are using this tragedy to push a tired, failed agenda – value-based care and its corollary, Accountable Care Organizations (ACOs). Read more

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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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