CT smoking costs total $4.9 million over a lifetime

A new analysis by Nerd Wallet finds that smokers in Connecticut cost an extra $4.9 million over a lifetime or $102,883 per year on average, the 4th highest rate in the US. Only smokers in New York, the District of Columbia, and Maryland have higher costs. Costs include not only out-of-pocket costs for cigarettes, but…

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CT again among healthiest states overall, but with big areas of concern

Connecticut ranked 4th healthiest among states in this year’s America’s Health Ranking, from the United Health Foundation. We were the best state in climate policies, childhood immunizations, and adult dental visits. But we were in the bottom on other indicators. Connecticut is in a very healthy region of the US, with New Hampshire (#1), Massachusetts…

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No evidence to justify price increases for eight of top 10 most costly drugs

ICER’s latest Unsupported Price Increase report from the Institute for Clinical and Economic Review finds that, last year, eight of the ten most costly drugs in the US that raised net prices well over the rate of general inflation, had no new clinical evidence of effectiveness to justify the increases. The increases on just these…

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Analysis: Healthcare defies softening labor market

The post-COVID hot labor market is cooling in Connecticut and across the US. While some industries are still seeking qualified workers, others are fully employed or even laying people off. But healthcare hiring is still scorching hot, with no end in sight. It’s increased demand for care but also the stresses of the job. Read…

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CT Medicaid Primary Care Redesign: What the Evidence Says Part 4: Better, Safer Options

Download the full report with sources Connecticut Medicaid is considering reforms to primary care delivery and payment. The CT Health Policy Project is collecting evidence from other states and programs to help inform that planning. Part 1 focused on Connecting with community services to improve health. Part 2 explored primary care payment reform, especially value-based…

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Book Club: Healthy Voices, Unhealthy Silence: Advocacy and Health Policy for the Poor

It was difficult to read Healthy Voices, Unhealthy Silence by Colleen Grogan and Michael Gusmano; thankfully it is short. It explores Connecticut’s adoption of managed care for Medicaid in 1996. The picture it paints is not flattering. Published in 2007, I’m embarrassed that I hadn’t seen this book before now. The authors track the implementation…

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ICER seeking nominations for New England evidence review council

The Institute for Economic and Clinical Review (ICER) is seeking nominations for new members to the New England Comparative Effectiveness Public Advisory Council (New England CEPAC). In my time on the New England CEPAC, it was an exciting dive into learning new things with a team of exceptional experts and colleagues from across the region.…

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Book Club: We’ve Got You Covered

I wasn’t looking forward to reading yet another book promoting yet another idea to solve America’s broken healthcare system. But it’s my job, so I dove into We’ve Got You Covered: Rebooting American Health Care by Liran Einav and Amy Finkelstin. I’m a convert now – mostly. The first half of the book is the…

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Op-Ed: The Charts That Scare Health Insurance Watchdogs

Self-insured small group plans sound innocuous but they’re not – and they are growing quickly. The plans save money for some small businesses, but they have serious risks. It’s kind of complicated but stay with me. I’ll walk you through it; there will be no numbers. Read more

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CT commercial insurance enrollment down 5%; several possible explanations

Download the report Last year, total enrollment in Connecticut’s commercial managed care plans was 1,666,972. That was down by 85,019 from 2021 at 1,750,904, according to the this year’s Consumer Report Card from the CT Insurance Department. The drop in enrollment was almost entirely from large group plans with over 50 members and spread across…

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