Good and bad Medicaid PCMH, PCMH Plus updates

At today’s MAPOC Care Management Committee, we learned that Medicaid’s successful Patient-Centered Medical Home (PCMH) program is growing and keeping up with higher enrollment due to COVID. In disappointing news, we also learned that the controversial PCMH Plus program has fewer care managers than expected and only 36% of ACO member advisory committees have any…

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Book Club: Medical Apartheid

Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present is very difficult to read. I stopped and re-started several times. You may know something about the Tuskegee syphilis project, but the wanton use and abuse of Black Americans as medical subjects goes much farther and continues into…

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CT physician earns Shkreli award overcharging for COVID tests

Dr. Steven Murphy, a Greenwich internist, has earned a 2020 Shkreli Award from the Lown Institute. Dr. Murphy earned the award for overcharging at several town COVID testing sites he ran for several towns including New Haven. He overcharged thousands for “super Covid tests” and other unnecessary tests. He charged $480 for a 30-second phone…

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New Medicaid homelessness prevention program shows promise

Starting August 1st, Medicaid members at risk of homelessness will have access to housing support services and subsidies through the new CHESS program. The program is designed to address upstream problems to prevent future problems and improve overall health. Described at today’s MAPOC meeting, the plan expects to serve about 850 Medicaid members with care…

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BOOK CLUB — The Right Price: A Value-Based Prescription for Drug Costs

For your summer reading. The Right Price: A Value-Based Prescription for Drug Costs offers the best explanation I’ve found of how drug costs are set, and how they should be. Using real-life patient stories, the authors give a balanced and comprehensive look at fair and reasonable pricing for a product that epitomizes market failure. The…

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ANALYSIS | Who In Health Care Made Money on COVID?

Many COVID heroes who put their lives at risk or died caring for others. We all owe healthcare providers, scientists, public health professionals, and other frontline workers a huge debt of gratitude. But the healthcare industries did just fine. Four of the ten companies that profited most during the pandemic are in healthcare. Read more

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NPR’s Frontline features Waterbury Hospital and private equity impact on hospitals

The latest NPR/Frontline investigation focuses on very unequal resources at US hospitals due to market forces and unequal government support. The second half of the documentary focuses on the impact of private equity buying safety net hospitals, which has doubled in the last decade. An expert describes how private equity firms purchase under-valued hospitals, cut…

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Public comment opposing sales of medical records to fund HIE

Read the full comments and the March 2020 letter from 22 advocates with concerns Today the CT Health Policy Project submitted public comment opposing the Office of Health Strategy’s medical record privacy policy proposals. Specifically advocates oppose selling access to Connecticut residents’ medical records through paid subscriptions. In addition to the harm to individuals, this…

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CTNJ: OP-ED | Drug Affordability Requires Limits On Price Gouging

Jay Gironimi has cystic fibrosis and he is grateful for the drugs that help him live. But he disagrees with the Epilepsy Foundation’s opinion piece that defends extreme drug price hikes. “While the drugs are saving lives today, the profit margins are slowly tanking the entire US healthcare system.” Read more

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OP-ED | When Data Becomes An Excuse To Prevent Change

Data is important. The drumbeat for data-driven policymaking in health care isn’t wrong. Policy decisions that aren’t informed by independent, valid analysis can cause more harm than good. But it’s important to know when we have enough data so we can get to work. Read more

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