ICER seeking nominations for New England evidence review council

The Institute for Economic and Clinical Review (ICER) is seeking nominations for new members to the New England Comparative Effectiveness Public Advisory Council (New England CEPAC). In my time on the New England CEPAC, it was an exciting dive into learning new things with a team of exceptional experts and colleagues from across the region.…

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Book Club: We’ve Got You Covered

I wasn’t looking forward to reading yet another book promoting yet another idea to solve America’s broken healthcare system. But it’s my job, so I dove into We’ve Got You Covered: Rebooting American Health Care by Liran Einav and Amy Finkelstin. I’m a convert now – mostly. The first half of the book is the…

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CT Medicaid primary care redesign: Payment reform

Download the full report with sources Connecticut Medicaid is considering reforms to primary care delivery and payment. The CT Health Policy Project is collecting evidence from other states and programs to help inform that planning. Part 1 focused on Connecting with community services to improve health. A major part of DSS’s planning for reform is…

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Analysis: Connecticut is doing something about healthcare costs, finally

I’ve long been a critic of our state’s inaction on controlling healthcare costs, but I may have to eat my words. On Wednesday, Connecticut policymakers took a big step toward controlling the two biggest drivers of rising healthcare costs – hospital and prescription drug prices. Read more

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Op-Ed: This Is Why CT Can’t Lower Healthcare Costs

After years of deliberation, Connecticut’s state plan to cap healthcare costs has finally identified the drivers of those costs in our state. But the Steering Committee, dominated by healthcare industries, still isn’t brave enough hold the overspenders accountable. They want the profitable industries to come up with ideas to lower their own costs (what could…

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Analysis: How Brain Shortcuts Undermine Policymaking

Thinking is hard work. Adult brains are only 2% of our body weight, but they use 20% of our body’s energy. To handle the load, we have evolved hard-wired shortcuts called cognitive biases that sometimes backfire. Public policymaking is not immune – it’s riddled with biases that are driving poor decisions. Read more

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Op-Ed: Artificial Intelligence can be the solution, when it isn’t the problem

Legislators want the state to evaluate the growing role of Artificial Intelligence (AI) in state agency decision making. As a tool, AI is neither good nor evil, it’s all about how it’s used. Badly done, AI can deny appropriate access to healthcare. But done well, it has the potential to improve care by removing individual…

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New standards to include health equity lens in effectiveness, fair pricing analyses

There is a growing consensus that healthcare systems can, unintentionally, exacerbate health disparities for underserved communities. There is a special concern that, as more payers use health technology assessments (HTAs) to promote value in the healthcare system, that health equity be incorporated into the methods. HTAs are evidence-based evaluations of healthcare treatments for clinical effectiveness…

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Insurance Committee passes bills prohibiting anti-competitive health system practices

This morning, the Insurance and Real Estate Committee approved two bills that  prohibit huge healthcare systems from using their monopoly power to jack up prices and insurance premiums. The Committee’s bill passed unanimously; the Governor’s bill that also includes an out-of-network price cap passed overwhelmingly. The Committee passed a similar bill last year. It passed…

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CT Medicaid costs stable but hospital spending needs monitoring

Download the report Sources below Connecticut Medicaid per member costs are stable and growing slower than other states. CT Medicaid per member costs are lower than all but 27 other states, just below the median. But hospital spending increases could erode that progress. Medicaid is not the driver of rising state budgets, growing less than…

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