National survey of healthcare executives finds population-based/capitated payment models are rare and aren’t growing

The latest survey of 500 US healthcare executives by the Numeroff & Associates finds that only 10% of revenue is at financial risk and that rate has not changed in the last three years. In previous surveys executives predicted that they would have a much larger share of revenue at financial risk by now. Just…

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Cost cap committee excludes patients’ provider choices from primary care spending increase

On Thursday, the main committee convened by the Office of Health Strategy (OHS) met to continue their work to set a cap on how much healthcare costs can increase and, at the same time, double spending on primary care. At the meeting they codified a narrow definition of primary care provider for purposes of calculating…

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One in three CT residents is anxious and/or depressed

The good news is that the rate of Connecticut residents reporting symptoms of anxiety or depressive disorder is down some since the end of April, according to a new CDC survey. The bad news is that it’s three times higher than this time last year. The week of April 23rd, when Connecticut was deep into…

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OHS Cost Cap committee retreats on quality, providers driving the delay

The Office of Health Strategy (OHS) rejected concerns been raised by stakeholders and some Cost Cap committee members that the Cost Cap on healthcare spending will be implemented at least a year before reporting on quality performance. Concerns center on the possibility of lowering costs by lowering the quality of care to achieve the ambitious…

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Medicaid rolls up 3.9% since February

The number of people getting medical assistance through the state is up by 40,158 or 3.9% from February to last month, according to new numbers from DSS. This was expected as people lose jobs and the employer-sponsored coverage that comes with those jobs. With less income more state residents were expected to qualify for Medicaid.…

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Cost Cap outside input very different depending on perspectives

OHS got very different feedback on their Cost Cap project from two outside committees last week. The Healthcare Cabinet, chaired by OHS, was very supportive with one exception. In contrast, members of the Medicaid Oversight Council shared concerns only. In some respects, this reflects the differing experiences with past reforms between Medicaid and commercial plans.…

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Book Club: Deaths of Despair and the Future of Capitalism

By Anne Case and Angus Deaton Reversing a century of progress, life expectancy has fallen for three years in a row but only in the US. Rising rates of suicide, drug overdoses and alcoholism are largely to blame. There were early media reports about the trend, but this detailed yet readable book goes much farther.…

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Cost Cap committee considers who qualifies for increased primary care spending

In response to stakeholder feedback that the prior Cost Cap levels were unrealistic and risk unintended harm to patients, at their last meeting the Office of Health Strategy’s Cost Cap committee slightly softened the cap levels. The committee continued their discussion of which providers qualify as primary care providers. OHS wants to significantly increase the…

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Update: OHS committee slightly eases unrealistic cap for CT healthcare costs

In response to stakeholder concerns, at their July 29th meeting the Office of Health Strategy’s (OHS) Technical Team choosing the cap for future Connecticut healthcare costs eased their previous decision on how much healthcare costs for every state resident will be allowed to increase over the next five years. Many stakeholders have voiced concerns that…

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