research
Fact Check: Do lower Medicaid provider payment rates cause higher commercial payment rates?
Download this Fact Check There’s a pervasive myth that lower Medicaid provider payment rates force providers to charge private insurers more to cover costs, but there is no evidence of that. On a simple level it makes some sense, but the truth is that providers, like most businesses, charge what they can, regardless of what…
Read MoreCost Cap project could reduce access to care, stifle efficiency and innovation, and increase disparities
Download the Summary or Full Report Healthcare costs a lot in Connecticut, especially for middle and lower income residents. Primary care is the foundation of a healthy health system. Lowering costs and supporting primary care are important goals, however the Office of Health Strategy’s (OHS) new plan to limit costs is ill-conceived and likely to…
Read MoreBook Club: Everything you need to know to understand, and fact check, data claims
The pandemic has placed us all in a crash course on health claims, science and data – what we know and what we don’t know. It can be confusing and scary. The Art of Statistics: How to Learn from Data by David Spiegelhalter is here to help. The book describes how statistics and probability can…
Read MoreCT hospitals would fare better than most if all payers used Medicare payment rates
A new study published in Health Affairs finds that if commercial payment rates were set at fee-for-service Medicare levels in 2017, US hospital revenue (inpatient and outpatient) would drop by 35%. Interestingly, also raising Medicaid rates to Medicare levels does little to mitigate that, changing the revenue loss to 30%. However, the authors note that…
Read MoreQ poll finds CT residents worried but support COVID public health restrictions
Almost half of Connecticut residents (43%) are feeling stressed by dealing with the state’s stay-at-home order, according to a new Quinnipiac University poll. But two thirds believe the level of restrictions to stop the spread of the COVID-19 virus have been about right and most (59%) believe that the state should wait a few months…
Read MoreProtecting affordability in a pandemic — Experts find fair prices for remdesivir between $10 and $4,500
In a nation hungry for good news in fighting the COVID-19 pandemic, remdesivir has emerged as a first ray of hope. The FDA has quickly approved the drug for emergency use with seriously ill patients. However there are concerns that the data supporting remdesivir’s effectiveness has not been published or peer reviewed by independent scientists…
Read MoreCT 7th best at social distancing, Fairfield leads CT counties
Last week, Connecticut residents did better than most Americans in maintaining social distance according to a University of Maryland model. (We slipped a bit on Saturday – to 18th among states.) The aggregate score uses the percent of us who stay home and reductions in trips per person. 35% of Connecticut residents stayed home last…
Read MoreWords matter – Unintended consequences of rush for COVID-19 treatment and poor communication
Scientists are under great pressure, internal and external, to find successful treatments for people seriously ill with the new coronavirus. Scientists are heroes, working with exceptional “vigor and speed” to find options. Unfortunately, sometimes that pressure results in early results being misunderstood and misused. Research conducted during a pandemic is not optimal for rigorous science…
Read MoreCTNJ: The recession is here, and healthcare is in the center of it
After the longest economic recovery in US history, we’ve been expecting a recession for a long time. We knew when it came, Connecticut healthcare would be hit hard. But no one expected this. Connecticut didn’t fare well in the last recession and we took longer than other states to build back the jobs we lost.…
Read MoreCommunity health center quality behind the rest of Medicaid
Download the report The good news is that Medicaid health outcome quality measures generally improved in all practice setting from 2016 through 2018. Unfortunately, community health centers (FQHCs) are not doing as well as their counterparts, either other Patient-Centered Medical Home practices (PCMHs), or non-PCMH practices in serving Medicaid members. This data comes from CHNCT’s…
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