Cheap solutions to big problems work better; small is the new big

In a hilarious TED talk, marketing expert Rory Sutherland points out the counter productive trend to throw big money at problems when, in fact, small changes are often more effective. The talk does touch on health care – at about four and half minutes into the video he describes a link between childhood immunizations and…

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Governor’s budget proposal – lots of cuts and a plan to reform HUSKY HMOs

In her budget proposal released yesterday, the Governor proposed shifting the current HUSKY HMOs away from capitation back to a non-risk arrangement. For a few months in early 2008, the Governor ordered a similar switch from capitation to an Administrative Services Organization (ASO)-model, in which the HMOs administered the program for DSS but passed all…

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Governor’s mitigation plan slashes health programs; 13 better alternatives offered

Yesterday the Governor released her plan to address the $470 million deficit for this fiscal year. This is on top of the cuts made in the budget that passed into law a few months ago. Her proposal includes cuts to the diaper bank, autism pilot, drugs in public coverage programs, new premiums and increases in…

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Medicaid Managed Care Council update

Today’s Medicaid Managed Care Council meeting touched on some new issues and revisited some old ones. There was a strong exchange on the Charter Oak annual $100,000 and lifetime $1 million limits. Sen. Prague talked about a patient who called her office needing treatment for cancer that exceeded the annual cap. He was eventually able…

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HUSKY rate audit released

The audit of large rate increases granted to the HUSKY HMOs last year has been released. Accounting firm Milliman found that the state overpaid the HMOs between $41 and 39 million. The Governor has already incorporated over $50 million in savings from re-negotiating HMO rates based on this report in her latest budget proposal. The…

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Ten Ways to Save Money and Improve Health Care Quality

For Ten Ways to Save Money that Improve Quality in CT’s Health Care – so we don’t have to cut important resources for working CT families — visit our OP-ED on CT News Junkie. For sources and more details, click here.

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Comptroller announces cost-saving health program for municipalities

Today Comptroller Nancy Wyman is announcing a new venture from her office that could save CT cities and towns tens of millions of dollars on health insurance costs. The Comptroller was joined in the announcement by Bart Russell, head of the CT Council of Small Towns, Sal Luciano, from AFSCME Council 4, and John Yrchik,…

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Office of Health Care Advocate saved over $4 million for CT consumers in 2007

For every dollar spent on the Office of Health Care Advocate (OHA), $4.42 was returned to CT consumers in health care services last year, according to OHA’s most recent annual report. From 2001 to 2007, OHA helped consumers with almost 10,000 complaints. Additionally, OHA was able to get two pieces of consumer protection legislation passed…

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PCCM Update

At yesterday’s Appropriations’ Human Services Subcommittee meeting, DSS reported on progress toward implementing a pilot Primary Care Case Management program for HUSKY. DSS has been busy researching other states’ PCCM programs, including a January trip to MA to hear from several states’ about best practices and collecting PCCM provider contracts. DSS generously invited this advocate…

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Geographic Variation in Health Care Spending

In a recent report, the Congressional Budget Office found that Medicare spending varies significantly by geographic region, even after controlling for differences in demographics, treatment preferences, and regional prices of medical services. The authors cite three possible reasons for the residual geographic variation in Medicare spending: (1) disagreement among medical professionals regarding the appropriateness of…

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