Making it work: Connecting medical and social care in Waterbury

As healthcare costs skyrocket, policymakers are searching for ways to improve the social drivers of poor health with little success. The problem is that the medical system has all the money, while community services manage on shoestrings, and they don’t connect with each other. Some innovators in Connecticut are doing the work to connect the…

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CT smoking costs total $4.9 million over a lifetime

A new analysis by Nerd Wallet finds that smokers in Connecticut cost an extra $4.9 million over a lifetime or $102,883 per year on average, the 4th highest rate in the US. Only smokers in New York, the District of Columbia, and Maryland have higher costs. Costs include not only out-of-pocket costs for cigarettes, but…

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CT again among healthiest states overall, but with big areas of concern

Connecticut ranked 4th healthiest among states in this year’s America’s Health Ranking, from the United Health Foundation. We were the best state in climate policies, childhood immunizations, and adult dental visits. But we were in the bottom on other indicators. Connecticut is in a very healthy region of the US, with New Hampshire (#1), Massachusetts…

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No evidence to justify price increases for eight of top 10 most costly drugs

ICER’s latest Unsupported Price Increase report from the Institute for Clinical and Economic Review finds that, last year, eight of the ten most costly drugs in the US that raised net prices well over the rate of general inflation, had no new clinical evidence of effectiveness to justify the increases. The increases on just these…

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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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