Connecticut Medicare ACOs overspent by $45 million in 2016

Data from CMS show that in 2016 Connecticut’s Accountable Care Organizations (ACOs) together spent $45 million more on care for Medicare beneficiaries above risk-adjusted benchmark spending levels. ACOs are networks of providers across the continuum that coordinate care for people and receive a share of the savings they generate. All of Connecticut’s Medicare ACOs only…

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Two thirds of CT residents prioritize healthcare for their vote

The newest survey by InformCT found that 63% of state residents cited healthcare as the leading issue in their vote for CT’s next Governor. In Congressional races, healthcare was cited as the most important by 67% and by 65% for choosing between state House and Senate candidates. Healthcare was cited at virtually the same priority…

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CT one of only four states that require Medigap plans to cover members when they need it

In all but four states, including CT, seniors on Medicare can be denied Medigap coverage at anytime according to a new analysis by the Kaiser Family Foundation. Federal law only requires a one-time, six-month Medigap plan open enrollment period that begins when beneficiaries originally sign up for Medicare. But states can go farther to protect…

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State individual mandate law would lower uninsured by 88,000 and premiums by 10%

A new analysis by the Commonwealth Fund estimates the impact if states passed their own individual mandate laws, similar to Massachusetts’ law that predated the ACA. According to researchers, by 2020 CT could expect our uninsured rate to drop by 34% with 88,000 more state residents having coverage. Most would gain coverage through Medicaid/CHIP (33,000)…

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Medicaid update: hints of new data and promises of more, call center wait times still long, but behavioral health progress

There was good and bad news at Friday’s Medicaid council meeting. Call center wait times are down to 85 minutes but more callers are giving up. There are signs of hope in fixing the new transportation problem and DSS has imposed sanctions (maybe a connection there), but concerns remain. But in good news, we heard…

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CTNJ op-ed — Facts, and data, are stubborn things

Big data is revolutionizing healthcare. The ability to collect reams of detailed information about how care is provided, how much it costs, and then to link that back to effectiveness and outcomes is powerful. New data tools offer the potential to improve individual and collective decision-making that targets just the right resources to the right…

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Summer reading — What the Eyes Don’t See

To save money in 2014 the state of Michigan switched Flint’s drinking water supply, with disastrous consequences. The latest addition to the CT Health Policy Project Book Club, What the Eyes Don’t See by Dr. Mona Hanna-Attisha, follows her journey as a pediatrician with a conscience fighting the state to protect Flint’s kids. Not an…

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Last year CT physicians and teaching hospitals received $34 million from manufacturers and GPOs

New data shows that 21 teaching hospitals and 13,310 physicians in CT received $34 million in payments and gifts from drug and device manufacturers and Group Purchasing Organizations (GPOs) last year. Open Payments, the searchable federal data source, was created by the Affordable Care Act which requires that manufacturers disclose payments to physicians and teaching…

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Summer reading: CT Medicine special issue highlights HIT in CT

The latest issue of CT Medicine, the CT State Medical Society’s peer reviewed journal, focuses on the great potential of Health Information Technology (HIT) to improve healthcare delivery, safety and building a learning system in our state. But it also highlights the substantial HIT challenges facing CT and stresses on physicians. The issue includes articles…

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