Anthem keeps lion’s share of CT insurance market

The best-kept secret in CT healthcare – the Insurance Department’s Consumer Report Card on Managed Care Plans – is out again this year covering 2017. Once again, Anthem has the lion’s share of the market at 46%. ConnectiCare lost almost 55,000 members between 2016 and 2017. About two out of three insured people in Connecticut…

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Employer health benefit costs hit lowest wage workers hardest

The latest Kaiser Employer Health Benefits Survey found that nationally last year premiums for employer-sponsored health benefits rose by 3% for single coverage and 5% for family coverage. In comparison, wages rose 2.6% and inflation was 2.5%. As in previous surveys, premiums were highest in the Northeast. But in a really unfair twist (which also…

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Another reason to be glad HUSKY fired managed care

New favorite quote – “If you have a dumb incentive system, you get dumb outcomes.” Charlie Munger, quoted by 46brooklyn A new analysis by 46brooklyn highlights the extra costs to Medicaid managed care programs of drug industry middlemen. Ohio’s Medicaid program pays $224 extra in markups to Pharmacy Benefit Managers (PBMs) hired by managed care…

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CT hospital readmission penalties up for next year

Next year, Medicare will penalize CT hospitals by an average of 0.74% in readmission penalties and all CT hospitals will pay a penalty, according to an analysis by Kaiser Health News. Nationally hospital penalties averaged less at 0.57%, and 574 US hospitals will have no penalty. Since 2012 hospitals have been penalized if they have…

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Medicaid update: Enrollment numbers coming finally, highlighting progress

Friday’s Medicaid Council meeting focused on enrollment numbers and reviewing achievements in the program. DSS outlined challenges that have delayed reporting enrollment numbers for two years and their new system for reporting the numbers. Rather than getting enrollment reports on paper as in the past, DSS is posting the data on CT Open Data. Visitors…

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Connecticut’s uninsured rate up, reversing four-year trend

New numbers from the US Census Bureau report that 194,000 or 5.5% of Connecticut residents were uninsured last year. That number is up 22,000 from the year before when the uninsured rate was 4.9%. The new data breaks a trend of fewer uninsured that began with implementation of coverage expansions under the Affordable Care Act…

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CTNJ op-ed: Health disparities are real and new payment schemes are probably making them worse

Connecticut is a very healthy place; we rank fifth healthiest among states. But not all state residents share in that good fortune; too many suffer from health inequities. Very good people across the state are doing important work promoting better health for everyone. However some emerging policies, both government and private sector, are working at…

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CT excels at getting Medicaid-eligible families enrolled

A new study finds that 96.3% of CT children eligible for HUSKY participated in the program in 2016; we are tied for seventh among states. The US average is 93.7% for all states; 94.9% for states, like CT, that expanded Medicaid under the Affordable Care Act. Even better, CT ranks fourth among states in enrolling…

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Lidocaine patch leads CT Medicaid drug spending

According to the latest data visualization from 46brooklyn, CT’s Medicaid program is spending a lot on lidocaine patches. Lidocaine is a local anesthetic that relieves nerve pain. Over the last three available quarters (Q3,4 2017 and Q1 2018), Lidocaine patches have topped CT Medicaid’s list of 25 most costly medications. This medication isn’t on the…

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