Fact Check: Does OHS’s Primary Care Roadmap include capitation? Yes, 31 times

In the Insurance Committee’s March 1st public hearing on HB-5042, advocates stated that the Office of Health Strategy’s Primary Care Roadmap plan, authorized in the bill, includes capitation as the payment model. Primary care capitation has failed in Medicare despite significant investment and multiple trials. Advocates are concerned that, if implemented, the Roadmap would divert…

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New tool finds all CT health systems’ commercial prices are far higher than needed to cover expenses

According to a new tool, Connecticut hospitals would have needed commercial rates equal to 135% of Medicare levels in 2020 to cover their expenses, much higher than the US average of 114%. However, every health system in Connecticut charged well above that level, far more than needed to cover expenses. The National Academy for State…

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CTNJ op-ed: Children deserve healthcare, regardless of immigration status

Last year, Connecticut policymakers made the smart and moral decision to provide HUSKY coverage to children from low-income families through age eight, regardless of immigration status, starting next year. It’s the right thing to do. It makes sense for the children and their families, as well as the rest of us. It’s a good start,…

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Testimony supporting Governor’s drug price cap and opposing OHS primary care plan

The Insurance and Real Estate Committee is hearing today the Governor’s healthcare bills. Areas of disagreement include a proposal to limit how much drug prices can rise and the Office of Health Strategy’s (OHS) plans to cap the growth of overall healthcare spending while doubling spending on primary care. Among non-state agencies, fifteen people and…

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CTNJ op-ed: Governor’s plan to lower healthcare costs — what’s in and what’s missing

It’s an election year and voters want relief with healthcare costs and insurance premiums. Governor Lamont has proposed a slate of bills to address the problem. He has a good proposal to limit drug price increases, an unnecessary proposal to draft yet another report on what’s driving up costs, and a bad one to divert…

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Analysis: CT hospital finances during COVID’s first year

Download the report Download the extracted data In 2020, Connecticut hospitals’ revenues exceeded expenses by 2.61% or $325 million. Hospitals averaged 1.9% of expenses in uncompensated care, less than the US average. Top hospital executives averaged $2.6 million in total compensation. Hospitals paid $1.3 billion in fees to corporate parent health systems. Large health systems…

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Policy options to control healthcare prices and protect from private equity

Healthcare service prices are the main driver of Connecticut’s rising health insurance premiums. The consolidation of hospitals and providers into large health systems has stifled competition, allowing prices to rise unchecked. Other states have taken action to protect competition in consolidated markets and it’s working. Connecticut needs to act. Private equity funds are buying critical…

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CTNJ OP-ED | Connecticut’s Healthcare Market Regulation is Broken

Connecticut’s healthcare markets are consolidating at a serious clip and it’s endangering access to care and driving up healthcare prices that make care unaffordable. Unfortunately, the state agency that is supposed to keep Connecticut’s healthcare market competitive isn’t acting. They have the tools – Connecticut has among the most protective laws in the nation. But…

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New Cost Cap industry-driven committee gets going

Members of the Office of Health Strategy’s (OHS) latest committee to drive down the growth in Connecticut’s healthcare spending moved past their initial reluctance to engage in their November and December meetings. OHS expects the provider and insurer-dominated committee to agree on ways to reduce their own costs/profits. Hopefully, they do not also use the…

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