CEPAC meeting next Thursday in CT – come watch smart people debate and vote on the effectiveness of palliative care interventions

The March meeting of CEPAC, New England’s comparative effectiveness council, will be in Hartford next Thursday, the 31stat the Bushnell. CEPAC is an independent council of clinicians, academics and consumer advocates who take a deep dive into research around treatments for specific conditions, sorting out and voting on clinical effectiveness, but also which are worth…

Read More

CEPAC coming to Connecticut – effectiveness of palliative care

The March meeting of CEPAC, New England’s comparative effectiveness council, will be in Hartford on the 31stat the Bushnell. CEPAC is an independent council of clinicians, academics and consumer advocates who take a deep dive into research around treatments for specific conditions, sorting out and voting on clinical effectiveness, but also which are worth the…

Read More

How CT can save $1 billion

Per person costs in CT’s Medicaid program fell, actually went down, by 5.9% last year. If the rest of CT’s state budget could match that performance, we would have a $1 billion surplus. Following is my list for how we could spend it (this was fun). ·      Reverse the HUSKY parents cut ·      Reverse the…

Read More

British medical humor for the holidays

Formerly known as the British Medical Journal, the BMJ Christmas issue is out with critical additions to the scientific literature such as a study of doctors’ coffee purchasing at work (surgeons drink the most, hierarchical position is positively correlated with high consumption and generosity in paying for others’ coffee) and the growing frequency of quotes…

Read More

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 More

ACOs not saving for Medicare, model could cost CT Medicaid almost $100m/year

CMS’s vast shared savings experiment for Medicare has disappointed again in its second year. The plan was to encourage providers to assemble into health care systems, called Accountable Care Organizations (ACOs), to coordinate care and keep people well. The incentive was that the systems share half (or more) of the resulting savings. The only problem…

Read More

Advocates’ guide to underservice recommendations

Connecticut’s State Innovation Model (SIM) is seeking to radically transform our state’s $30 billion health system by aligning incentives to build value. SIM has chosen a shared savings payment model for those reforms. Advocates are concerned about incentives to deny necessary care under the new payment model, as happened in the past. SIM’s Equity and…

Read More

Webinar online – Caring for high-need patients – Lessons for CT

Evidence is growing that we cannot fix our health care system without addressing the needs of the small number of patients with very complex and costly health problems. Connecticut can learn from other programs across the US as we build reforms for our state and our Medicaid program.  On this week’s webinar we heard from…

Read More

Best practices guide on integrating behavioral health into primary care

Up to 70% of physician visits involve a mental health issue and health care costs for people with mental health issues are often up to three times higher than other patients with similar conditions. CEPAC, New England’s comparative effectiveness council, has published their latest guide featuring best practices for integrating behavioral health services into primary…

Read More