Medicaid MCOs and cost savings – What the evidence says

Go to the full report Governor Lamont is reportedly considering a plan to have private insurance managed care plans (MCOs) run Connecticut’s Medicaid program. Do MCOs save states money in state Medicaid programs? We looked into the evidence. In a word, No. From the literature: The evidence does not support Medicaid managed care saving money…

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NoHuskyMCOs – New resource to preserve Medicaid success

Go to NoHuskyMCOs.org for up to date information on plans to return control of Connecticut’s Medicaid program to private insurance company managed care plans (MCOs). From 1996 through 2011, Connecticut Medicaid was run by MCOs, and it was deeply troubled. The program ended under pressure from advocates, providers, and legislators. Since the MCOs left Connecticut…

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US News: CT is 3rd best in US for healthcare

Based on surveys of state residents on their priorities for state government and health data, Connecticut is third best among states for healthcare, our highest ranking among categories. Healthcare was equally weighted between access (#3 among states), quality (#21), and public health (#6). The subtopics for each health category are: Access Quality Public health Adults…

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Book Club – Super Forecasting: The Art and Science of Predicting

The title makes a big promise, but this book delivers. The book starts with examples through history of “experts” who were followed, even when evidence they were wrong was obvious. Healthcare is full of these examples, and the authors cite a few. In 2005, Phillip Tetlock published a very large 20-year study measuring the accuracy…

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CTNJ: Key Lawmaker Pledges To Fight Potential Lamont Plan On Managed Care For Medicaid Patients

CT News Junkie reports: Key state lawmaker said Thursday she opposes the idea of reverting back to a controversial managed care plan for nearly one million Medicaid recipients, setting up a potential showdown between Gov. Ned Lamont and a legislature controlled by his party. Read more

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From 2011 to 2022, CT hospital budgets devoted 12% to administration labor and 30% to direct patient care labor

Download the brief Download the data Parsing the latest data from NASHP’s Hospital Cost Tool finds that in 2022, Connecticut’s acute care hospitals averaged almost 32% of their budgets on direct patient care labor and just under 12% on labor costs for administration, which includes management, administration, and payments to their larger health system (called…

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Webinar offers tools to improve prescribing

Download the slides and watch the webinar recording Connecticut, like other states, are struggling to improve appropriate prescribing while lowering costs. In Friday’s webinar, Greg Low, RPh, PhD, offered Mass General’s experience of what works to improve physician prescribing at their ACO. Greg is the Manager for Pharmacy Operations at Mass General Brigham Health Plan.…

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Connecticut health care coverage continues slow shift from private to public coverage

Download the report The latest numbers from the US Census on US health coverage in 2022 found that, as in the past, most Connecticut residents are covered through an employer-sponsored plan. Publicly-funded Medicare and Medicaid each cover about one in five Connecticut residents. While employer-sponsored coverage has slowly declined since 2008, public programs have grown,…

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CT ranks ninth worst in ED wait times

A new analysis by Becker’s Hospital Review of CMS data finds that patients wait an average of 186 minutes to be seen in a Connecticut emergency room. The national median was 162 minutes. The study covered April 2022 through March 2023. Connecticut hospitals varied considerably in average wait times from 98 minutes at Lawrence &…

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Webinar: Improved prescribing through education and reporting

Connecticut providers and payers are struggling to find ways to address prescription costs and the quality of prescribing. Hear how Mass General Hospital & Physicians Organization’s program improved prescribing quality and efficiency. The webinar is Friday, February 16th at 1pm. Register here. Greg Low, RPh, PhD recently transitioned to a new position as the Manager…

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