Smart Savings
31 ways to save on healthcare in Connecticut’s budget
Connecticut’s state budget is facing future deficits and health spending is a large share of the budget. The state now spends $3.8 billion between Medicaid and the state employee health plan to cover about a million state residents. Health care spending outside the state budget is also growing. Connecticut has the sixth highest per capita…
Read MoreMedicaid update: Quality was rising through 2016, raising concerns about PCMH+
Friday’s MAPOC meeting focused on Medicaid quality and access information from CHNCT, DSS’s administrative contractor for the program. Across the 12 (of over 100) quality measures chosen, there was modest but sustained improvement from 2014 through 2016. However community health center performance consistently lags behind other PMCH practices across the quality measures. Of particular concern…
Read MoreRest of US catching up with CT – Medicaid managed care doesn’t work
Two Health Affairs blog posts highlight the disappointments states are having with their capitated Medicaid managed care programs. Managed care across the US is growing fast, making big profits for private insurance companies, promising improved health outcomes and lowering costs. But CT found exactly the opposite effect when we shifted away from capitated managed care…
Read MoreCTNJ: Healthcare questions for Connecticut’s Next Governor
How will Connecticut’s next governor fix the state’s healthcare system? It’s a big job but they will have a lot more leverage and power than many appreciate. Read more
Read MoreACA Medicaid expansion benefits to CT include fewer uninsured, lower ED use, access to behavioral healthcare
A new analysis by the CT Health Foundation outlines the “unqualified success” of CT’s HUSKY expansion. In 2010 CT was the first state to exercise the Affordable Care Act option to expand Medicaid to low income, childless adults, labelling the new population HUSKY Part D. The expansion was largely responsible for cutting CT’s uninsured rate…
Read MoreCT News Junkie: What does it take to stop repeating a bad idea?
Albert Einstein believed the definition of insanity is doing the same thing over and over but expecting a different result. Unfortunately, Connecticut policymakers haven’t learned this lesson. Provider financial risk is a bad idea that has failed both in our state and nationally. Read more
Read MoreThirty-one independent consumer advocates share concerns with SIM’s latest push for capitation
Despite the historic failures of capitation in Connecticut and beyond, our state’s SIM health planning office is continuing the drumbeat to re-impose the risky system across our state, this time for primary care. In Primary Care Payment Reform: Unlocking the Potential of Primary Care, the SIM office is proposing set payments for primary care providers…
Read MoreSmart CT Medicaid smoking cessation coverage
A new CDC analysis finds that CT’s Medicaid program is among the most progressive in covering smoking cessation treatments. Medicaid members are twice as likely to smoke as other Americans. Smoking-related treatment costs US Medicaid programs about $39 billion annually, so effective tools to quit are a smart investment for states. Despite improvements, most states’…
Read MoreCTNJ op-ed: Connecticut should be careful building a public insurance option through Medicaid
Health insurance is too expensive in Connecticut and it may get worse with troubling new federal policies. But one proposed state solution isn’t as simple as it sounds. Read more
Read MoreGood news on Medicaid costs, but big problems with transportation
At Friday’s Medicaid Council meeting, DSS reported that per person costs in CT’s Medicaid program continue to provide relief to the state’s budget, dropping 1.6% from FY 2016 to 2017. Over the last five years, per person costs in the program are down 3.4%. In FY 2016 Medicaid consumed 22.7% of our state budget, compared…
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