CT and surrounding states provide better than average quality care to Medicaid members

CMS has published a new Medicaid/CHIP scorecard to promote accountability and transparency in states’ programs. The site allows comparisons of state enrollment, eligibility, and access to relevant documents (state plan amendments and waivers) and expenditures. Most interesting is comparisons by state across adult and child health quality metrics for 2016. Like our neighboring states, CT…

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Rest of US catching up with CT – Medicaid managed care doesn’t work

Two Health Affairs blog posts highlight the disappointments states are having with their capitated Medicaid managed care programs. Managed care across the US is growing fast, making big profits for private insurance companies, promising improved health outcomes and lowering costs. But CT found exactly the opposite effect when we shifted away from capitated managed care…

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Updated data from DSS call center – wait times are 107 and 105 minutes, not 2 minutes

In response to a Freedom of Information request, advocates learned last week that 56% of callers waiting to talk to a human at DSS’s benefits center chose to hang up in both March and April of this year. That’s probably because average wait times for the benefits center were 107 and 105 minutes, in March…

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Medicaid missing data concerns

Friday’s Medicaid Council meeting focused on concerns with Veyo, the state’s new transportation contractor, and DSS operations performance, especially ongoing call center problems. Unfortunately, we are getting even less data than in the past. Veyo’s presentation did little to counter the landslide of complaints from consumers and providers about the transportation system and missing data…

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State Scorecard finds CT does fairly well, but poorly in Avoidable Hospital Use and Cost

The latest Commonwealth Fund State Scorecard finds CT’s performance across our health system ninth among states, unchanged from last year. While good, we can do much better given our rankings in personal income, education and overall high health status. We are 32nd among states in Avoidable Hospital Use and Costs, down by three from last…

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Births to very young girls declining, CT rate low but towns vary

A new CDC analysis finds that births to girls ages 10 to 14 reached a record low in 2015 and 2016 at 0.2 per 1,000 population. CT was among 8 states with the lowest rate; Mississippi was highest at 0.7 per 1,000. DPH’s vital statistics reported 15 births to CT girls under age 15 in…

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Thirty-one independent consumer advocates share concerns with SIM’s latest push for capitation

Despite the historic failures of capitation in Connecticut and beyond, our state’s SIM health planning office is continuing the drumbeat to re-impose the risky system across our state, this time for primary care. In Primary Care Payment Reform: Unlocking the Potential of Primary Care, the SIM office is proposing set payments for primary care providers…

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CT life expectancy rising, but risks vary

A comprehensive, new analysis of public health outcomes, risks, and causes by state published in JAMA finds that life expectancy for CT residents rose from 77 years in 1990 to 80.8 year in 2016. Healthy life expectancy (maybe more important) also rose from 66.5 years to 69 years. States varied widely in the burden of…

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Chartbook: Prescription drugs driving CT health costs across payers

According to a new Chartbook, prescription drugs are the largest driver of health costs in our state. We spend more per person on prescriptions than all states but Delaware and that number is rising faster here than most states. Charts regarding Medicaid spending have been corrected to reflect that pharmacy costs in the program have…

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Committee develops care plan best practices recommendations for Medicaid

The Complex Care Committee of CT’s Medicaid Council has made recommendations to DSS for careplans in the Medicaid program. The importance of effective care plans has arisen often throughout the committee’s work diving deep into barriers to care for Medicaid members with complex health needs. Effective care plans ensure that people are driving decisions about…

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