Stats & Data
Medicaid update: New data on high-cost, high-need members
Friday’s Medicaid Council meeting focused on CT’s participation in a national technical assistance program to identify and meet the needs of high-cost, high-need patients. This population has received a great deal of attention from policymakers as the best opportunity to both improve access and quality of care as well as control costs. The concept offers…
Read MoreMedicaid update: New data on high-cost, high-need members
Friday’s Medicaid Council meeting focused on CT’s participation in a national technical assistance program to identify and meet the needs of high-cost, high-need patients. This population has received a great deal of attention from policymakers as the best opportunity to both improve access and quality of care as well as control costs. The concept offers…
Read MoreMAPOC: Harnessing the power of data analytics to improve health
Last week, MAPOC’s Complex Care Committee heard an exciting presentation by Alan Fontes of UConn Analytics and Information Management Solutions. Alan came to UConn from DeLoitte where he led their project providing healthcare advanced analytics and information management for states across the US. He described the power of analytics to help guide smart planning for…
Read MoreChartbook: CT drugs costs high and growing fast
14.4% of our state’s economy was devoted to health care services in 2014, slightly below the US average, according to a new Chartbook on CT health spending. Based on newly released data from CMS actuaries, the analysis finds that CT health costs per person are not surprisingly high but we out-perform most other states in…
Read MoreAdvocates document concerns with PCMH+ implementation
The Medicaid Study Group, a coalition of independent consumer advocates, have published an update on CT Medicaid’s new payment reform experiment, PCMH+, fact sheet and report. The program started January 1st with 137,037 members. Under the new shared saving payment model, large health systems (called ACOs in other states and programs), get half the health care savings…
Read MoreNew state health comparison tool shows challenges and opportunities for CT
In good news, CT is 11th best among states in the number of people who had no trouble finding a doctor in 2015 according to State Health Compare. But CT is also 17th worst among states in the percent of residents with high medical cost burdens. Depending on how you look at it, it may…
Read MoreStudy raises concerns about ACO “savings” and gaming the system
A new study published in Health Affairs raises doubts about the effectiveness of Accountable Care Organizations (ACOs) to both improve the quality of American health care while controlling costs. The study found very high physician turnover rates at a large Medicare ACO and that high cost patients were concentrated among a small minority of…
Read MoreAdvocates ask DSS yet again for a robust evaluation of risky experiment before expanding
Twenty-three independent advocates sent a letter today again urging the state to conduct common sense evaluation of the first wave of a risky new program before expanding the program, as promised. Advocates have learned that the planned evaluation will not be available until 2 months after the RFP for the second wave is finalized and released. In addition, current…
Read MorePCMH + evaluation plans – weak review and too late to matter
Wednesday DSS unveiled their initial plans to evaluate PCMH +, the new experimental HUSKY shared savings program that just started January 1st with 160,000 members. HUSKY’s previous experience with financial risk was a universally acknowledged failure. Contrary to promises for a meaningful evaluation of the program before moving another 200,000 members into the program next…
Read MoreICD-10 holiday fun from STAT News
Holiday humor from STAT News includes a piece outlining ICD-10 medical codes for typical holiday health problems. If you’re looking for them, STAT has the codes for holiday injuries (contact with electric knife, struck by turkey), stress of waiting for Santa (behavioral insomnia of childhood, encounter for examination of eyes and vision with abnormal findings),…
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