Smart Savings
Medicaid switch from MCOs saving taxpayers billions
Download the brief here If Medicaid per member per month costs had held steady at 2012 levels, taxpayers would have spent $2.25 billion more by last year. As with most health care in Connecticut, Medicaid spending was rising quickly before 2012 growing by almost half over the prior four years. But in 2012, Connecticut made…
Read MoreEvidence that children with private or Medicaid coverage both at risk of low-value care
A new study finds that both Medicaid and privately insured children frequently receive healthcare services that do not improve health. There has been an assumption that because providers are paid less by Medicaid, they have no incentive to provide unnecessary services. The study, published in Pediatrics, analyzed records from almost 7 million American children in…
Read MorePCMH (no Plus) program continues to grow and improve care
At MAPOC’s Care Management Committee meeting Wednesday, the state provided the latest numbers from the successful Person-Centered Medical Home program. PCMHs are primary care practices that coordinate care for patients, offer expanded hours, and address population health needs. The program continues to grow, adding 52 primary care providers and seven new sites of care in…
Read MoreCT state budget spends less on Medicaid than other states, saving $209 million
The latest MACStats data release repeated trends from years ago but held a few new nuggets. Last July 857,415, or one in four, Connecticut residents were covered by Medicaid. Connecticut spent 14.9% of our state budget on Medicaid, below the US average of 16%. Our surrounding states were all above the US average — Massachusetts…
Read MoreFive healthcare issues to follow in 2020
What Connecticut can do in an election year, with a tight budget, in an unsettled economy, and Washington in gridlock Download the details ACOs and provider financial risk Accountable Care Organizations (ACOs) are large and growing systems that touch every aspect of healthcare. They make money by reducing their patients’ care costs. Unlike insurers, ACOs…
Read MoreICER seeks nominations for New England Comparative Effectiveness voting panel
The Institute for Clinical and Economic Review has opened nominations for membership on their New England Comparative Effectiveness Public Advisory Council. New England CEPAC meets three times each year in public forums across the region to assess the evidence for treatments for specific conditions with input from stakeholders including patients affected by the condition. In…
Read MoreSurvey 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 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 MoreBipartisan Insurance Committee forum finds a lot of consensus on potential reforms
Download the CTHPP presentation Yesterday the Chairs and Ranking Members of the Insurance Committee convened a forum on potential reforms to lower healthcare costs. Legislators invited David Seltz from the Massachusetts Health Policy Commission. Connecticut speakers included representatives from the insurance industry, providers, state officials, a foundation and advocates. A recurring theme was the need…
Read MoreHousing community explores successful CT collaborations to promote health
Over 300 Connecticut affordable housing stakeholders joined Governor Lamont and other speakers at the Affordable Housing Alliance’s 30th annual conference last week. The Governor explained his focus on affordable housing by relating a conversation with a young bus rider in New Haven who’d been homeless as a child. With help from housing care managers, he…
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