Smart Savings
Medicaid Study Group recommendations to preserve, build on Medicaid success
Actions to protect Medicaid success long-term Connecticut Medicaid Study Group Since moving away from capitated managed care plans in 2012, Connecticut’s Medicaid program has enjoyed enormous success. Per capita spending is actually down, saving hundreds of millions of tax dollars every year, and making Connecticut the best performing state in the US at controlling costs.…
Read MoreNew data finds CT leads nation in lowering Medicaid costs
New data from CMS actuaries finds that Medicaid per capita health care spending dropped 5.7% from 2010 to 2014, better than any other state. Of note, in 2012 CT Medicaid shifted away from capitated managed care organizations to run Medicaid. Unfortunately, the rest of the CT’s market is not performing as well as Medicaid –…
Read MoreBusting Medicaid spending myths
Despite best efforts by legislators, advocates, and state officials, persistent myths remain about the success of Connecticut’s Medicaid program. It’s understandable – before the shift five years ago away from private insurers to care coordination, costs were out of control, but things are very different now. We’ve looked under the hood, drilled down into details,…
Read MoreDSS plans for high-cost, high-need members focuses on behavioral health
At yesterday’s online MAPOC Complex Care Committee meeting, DSS described their innovation plan to address the needs of high-cost, high-need Medicaid members. (meeting video and slides) The project was made possible by a technical assistance grant from the National Governor’s Association. Five agencies and the Medicaid Administrative Service Organizations, CHNCT and Beacon Health, have worked…
Read MoreTwenty-six advocates support DSS decision to evaluate Medicaid reform
Wednesday 26 independent consumer advocates wrote the Lieutenant Governor supporting DSS’s decision to evaluate outcomes after the first wave of 200,000+ members into the new Medicaid shared savings program, MQISSP. The advocates support DSS’s prudent plan to assess the impact, good and bad, and make revisions before moving more people into the untested program. Enlightened…
Read MoreNew Haven Register Forum: ICER part of solution in addressing drug effectiveness, cost
From yesterday’s New Haven Register: The news is full of recent drug companies’ breathtaking price hikes. A new study by Reuters finds that prices for four of the top 10 U.S. drugs more than doubled since 2011, and prices for the other six rose more than 50 percent. These drugs treat common problems such as arthritis, asthma…
Read MoreCEPAC meeting affirms the value of outpatient palliative care, but more research is needed
At yesterday’s meeting in Hartford, CEPAC took a deep dive into the clinical and cost effectiveness of palliative care delivered in outpatient settings. From CEPAC’s report, “Palliative care is a management approach that provides symptom relief and comfort care to patients with serious or life-threatening illnesses, with the goal of improving quality of life for both patients…
Read MoreCEPAC meeting next Thursday in CT – come watch smart people debate and vote on the effectiveness of palliative care interventions
The March meeting of CEPAC, New England’s comparative effectiveness council, will be in Hartford next Thursday, the 31stat the Bushnell. CEPAC is an independent council of clinicians, academics and consumer advocates who take a deep dive into research around treatments for specific conditions, sorting out and voting on clinical effectiveness, but also which are worth…
Read MoreWall Street Journal article celebrates CT Medicaid success after move away from private insurers
On page 3 this weekend, the Wall Street Journal highlighted CT Medicaid’s success controlling costs and improving care by bucking the usual trend. Four years ago CT moved away from private insurers to run the program ourselves – and that has made all the difference. “’Been there, done that and it didn’t work,” says Robert…
Read MoreCEPAC coming to Connecticut – effectiveness of palliative care
The March meeting of CEPAC, New England’s comparative effectiveness council, will be in Hartford on the 31stat the Bushnell. CEPAC is an independent council of clinicians, academics and consumer advocates who take a deep dive into research around treatments for specific conditions, sorting out and voting on clinical effectiveness, but also which are worth the…
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