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CT insurers lost enrollment in 2018, Spent 89% of premiums on medical care

There were 332,015 fewer Connecticut residents with commercial insurance coverage last year than in 2017, according to the latest Consumer Report Card from the CT Insurance Department. All insurers lost enrollment. The report also includes important information for consumers including member satisfaction performance, numbers of participating providers by county, medical measures such as cancer screens,…

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Thirty medically complex children stuck in CT hospitals waiting for home health care cost state over $100 million

Last week, MAPOC’s Complex Care Committee heard from the three remaining home health agencies that provide care for Connecticut’s most medically complex children. We heard about the massive challenges facing both families and agencies. Most parents caring for medically complex children are single mothers due to high divorce rates, who cannot work because of inconsistent…

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CT healthcare price variation varies

Prices vary by city and for selected healthcare treatments, in some cases substantially, according to Healthscore CT, using the new All Payer Claims Database from the CT Office of Health Strategy and UConn Analytics and Information Management Solutions. The site provides important information on cost and quality for consumers and payers shopping for healthcare services…

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If the ACA is overturned, one in four Connecticut adults could lose coverage due to a pre-existing condition

A new report from the Kaiser Family Foundation estimates that 529,000 non-elderly adults (24%) in Connecticut have pre-existing health conditions that could affect their ability to get or afford health insurance if the Affordable Care Act (ACA) is overturned. Researchers estimate that 27% of non-elderly adult Americans have a health condition and 45% of families…

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2020 insurance premium requests increase lower for individuals on AccessHealthCT, most of whom are subsidized, older and higher risk

Connecticut insurers have filed their requests for individual and small group premium increases for 2020 with the CT Insurance Dept. Requests vary from an average reduction of 9.8% for CTCare individual plans outside AccessHealthCT, our state’s insurance exchange, to 22% average increases for Aetna small group plans also outside AccessHealthCT. Six in ten people in…

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Join webinar for patients on leading methodology to evaluate the value of costly treatments

September 4th all patients and groups are invited to a webinar to give input on ICER’s Value Assessment Framework methods. The non-profit Institute for Clinical and Economic Review (ICER) is the nation’s leading independent analyst of evidence on the effectiveness and value of drugs and other treatments. ICER produces public reports used by Medicare, Medicaid,…

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State approves controversial New Haven primary care move

Friday, the state Office of Health Strategy gave final approval Yale-New Haven’s application to move primary care for over 25,000 low income consumers out of neighborhoods and shift them to the Cornell Scott and Fairhaven health centers for payment purposes. Under the final agreement patients would still be cared for by the same YNHH primary…

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Proposed federal rule would require hospitals to post negotiated rates

A new proposed federal regulation (called a “rule”) would allow consumers to compare negotiated service prices by hospital and by payer. These would be the real prices paid by insurers, both hospital and payer-specific prices, as well as gross prices. This information could be extremely helpful for consumers without insurance and those with high deductibles…

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