Analysis: Healthcare defies softening labor market

The post-COVID hot labor market is cooling in Connecticut and across the US. While some industries are still seeking qualified workers, others are fully employed or even laying people off. But healthcare hiring is still scorching hot, with no end in sight. It’s increased demand for care but also the stresses of the job. Read…

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CT Medicaid Primary Care Redesign: What the Evidence Says Part 4: Better, Safer Options

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. Part 2 explored primary care payment reform, especially value-based…

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Book Club: Healthy Voices, Unhealthy Silence: Advocacy and Health Policy for the Poor

It was difficult to read Healthy Voices, Unhealthy Silence by Colleen Grogan and Michael Gusmano; thankfully it is short. It explores Connecticut’s adoption of managed care for Medicaid in 1996. The picture it paints is not flattering. Published in 2007, I’m embarrassed that I hadn’t seen this book before now. The authors track the implementation…

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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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CT health systems ranked poorly by their nurses

Connecticut health systems underperform in an analysis of nurses’ satisfaction with their employers by MIT’s Sloan School of Management. Only four health systems covering Connecticut had enough data to be included in the study – Hartford Healthcare, Yale-New Haven Health, Trinity, and the US Department of Veterans Affairs (VA). Nurses working at Yale-New Haven and…

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ICER fair access report finds improvements but problems with transparency

ICER’s third annual Barriers to Fair Access report found that most prescription drug coverage policies met fair rules for patient access. This is an improvement over previous years suggesting that transparency and public sunlight works. But the report also found that policies needed more transparency and are too complex. Policies on which patients are eligible…

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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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Op-Ed: The Charts That Scare Health Insurance Watchdogs

Self-insured small group plans sound innocuous but they’re not – and they are growing quickly. The plans save money for some small businesses, but they have serious risks. It’s kind of complicated but stay with me. I’ll walk you through it; there will be no numbers. Read more

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CT commercial insurance enrollment down 5%; several possible explanations

Download the report Last year, total enrollment in Connecticut’s commercial managed care plans was 1,666,972. That was down by 85,019 from 2021 at 1,750,904, according to the this year’s Consumer Report Card from the CT Insurance Department. The drop in enrollment was almost entirely from large group plans with over 50 members and spread across…

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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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