July’s CT Health Reform Dashboard reflects growing uncertainty at the state and federal levels. If passed, Congressional proposals to replace the ACA will shift massive costs onto CT and result in a sharp drop in coverage. State budget cuts threaten current services and coverage. Nevertheless, DSS is doggedly forging ahead with a questionable payment experiment without waiting for data; we’ve seen this before and it doesn’t end well. Insurers seek double digit rate increases and physicians are building a health information exchange, because the state can’t seem to get it done.