Smart Savings
Nutrition initiative could save $908 million per year in CT healthcare spending – Potential Medicaid LTC spending relief option
Medically tailored meals (MTMs) could save Connecticut $6,299 net per year per person, by far the highest savings among states, according to a new study published in Health Affairs. This research offers an important option to address Connecticut Medicaid long-term care costs that not only saves money, but also improves health. MTMs are nutritious, prepared…
Read MoreReform section updated in CT Healthcare Explained
We’ve updated the Reform chapter of CT Healthcare Explained, our explainer website cutting through the complexities of our state’s healthcare system. Like the other 17 topic sections, Reform includes a Basics summary and a much longer Deeper Dive into the issue. In the left hand box, you can skip to your specific question. There is…
Read MoreHUSKY still very efficient but drugs are driving up costs
Read the full report Like other states, Connecticut Medicaid per member costs are beginning to increase after dropping during COVID. However, Connecticut’s rate trend remains better than other states. Since switching from managed care organizations in 2012 to focus on care management, Connecticut Medicaid spending stabilized while enrollment expanded significantly, according to the state’s latest…
Read MoreDSS’s comprehensive HUSKY report finds a very strong program, with plans to improve
In response to 2023 legislation, on Tuesday DSS provided a 72-page comprehensive description and analysis of Connecticut’s Medicaid program to MAPOC, the program’s oversight council. The report also includes DSS’s strategy to improve the program and members’ health. The report finds that the program’s performance is very strong. “Overall, the Medicaid program achieves good quality…
Read MoreAnalysis: Trump order jeopardizes cost effective, life-changing cure for sickle cell
We are lucky to live in a time when creative scientists are developing life-changing new cures for debilitating genetic diseases. These breakthrough treatments are as important as penicillin or insulin were in their time. Unfortunately, they are also very expensive. To help pay for them, federal Medicaid officials created an opportunity to help states afford…
Read MoreICER’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…
Read MoreMore 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…
Read MoreMaterials 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…
Read MoreAnalysis: DSS Study Suggests MCOs don’t Make Sense for HUSKY
Last Friday, the state released a consultants’ report exploring the Governor’s controversial plan to bring private insurers back to run Medicaid in Connecticut. The report’s authors agree with advocates that there is no evidence that MCOs control costs or improve quality or access to care. They also agree that HUSKY, our state Medicaid program, is…
Read MoreWebinar: 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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