research
Survey finds CT ACOs planning services for high need members
Similar to national results, a new survey of Connecticut Accountable Care Organizations for MAPOC’s Complex Care Committee by the CT Health Policy Project finds that most are using multiple methods to identify high need members. But they are still working on implementing effective programs to address the needs. Many of their plans follow best practices…
Read MoreCTNJ Analysis: When Making Things Better Makes Things Worse: Algorithms, Data and Racial Bias
Unintended consequences are old news; so why are we surprised every time it happens? Computer programs developed to target care management services to people with serious complex conditions were meant to make important health decisions based on data but instead favored White patients over sicker Black patients. Read more
Read MoreICER seeks input on non-drug topics for 2020
The Institute for Clinical and Economic Review is seeking input on non-drug topics they should study for 2020. An independent nonprofit research institute, ICER is the US leader in assessing the evidence on the effectiveness and value of drugs and other medical services. ICER’s reports and pricing benchmarks that represent a good value for consumers…
Read MoreCT insurers lost enrollment in 2018, Spent 89% of premiums on medical care
There were 332,015 fewer Connecticut residents with commercial insurance coverage last year than in 2017, according to the latest Consumer Report Card from the CT Insurance Department. All insurers lost enrollment. The report also includes important information for consumers including member satisfaction performance, numbers of participating providers by county, medical measures such as cancer screens,…
Read MoreCT healthcare price variation varies
Prices vary by city and for selected healthcare treatments, in some cases substantially, according to Healthscore CT, using the new All Payer Claims Database from the CT Office of Health Strategy and UConn Analytics and Information Management Solutions. The site provides important information on cost and quality for consumers and payers shopping for healthcare services…
Read MoreConnecticut’s uninsured rate stabilizes, retaining ACA gains
Download the report New numbers from the US Census Bureau report that 187,000 or 5.3% of Connecticut residents were uninsured last year. That number is down slightly from the year before when the uninsured rate was 5.5%, but above 2016’s rate at 4.9%. The new data continues the trend of fewer uninsured that began with…
Read MoreJoin webinar for patients on leading methodology to evaluate the value of costly treatments
September 4th all patients and groups are invited to a webinar to give input on ICER’s Value Assessment Framework methods. The non-profit Institute for Clinical and Economic Review (ICER) is the nation’s leading independent analyst of evidence on the effectiveness and value of drugs and other treatments. ICER produces public reports used by Medicare, Medicaid,…
Read MoreCT eighth highest in unaffordable rents, impacts health
In 2017 almost half (48.5%) of renters in Connecticut spend over 30% of their household income on rent, more than renters in all but seven other states. The analysis by SHADAC found that Connecticut has been in the top ten states for most unaffordable rents in five of the last six years and the rate…
Read MorePCMH + risk scores suggest possible gaming or worse; Advocates call on DSS to delay expansion to protect members and taxpayers
A new analysis of PCMH + members’ risk scores finds unexplained increases compared to the control/comparison group that could signal ACO gaming of the system for financial gain and/or, far worse, a decline in the health of members in the program. PCMH Plus, a controversial new payment model, allows ACO (large health systems) to share…
Read MoreCoincidence? CT spends little on primary care, and we have high ED, preventable hospitalization rates
A new analysis finds that Connecticut, at only 3.5% of our health care dollars spent on primary care, is last among 29 states studied. Not surprisingly, we also rank among the highest in ED visits, all hospitalizations, and in avoidable hospitalizations. The US average is 5.6% of health care spending devoted to primary care, well…
Read More