A new study finds that both Medicaid and privately insured children frequently receive healthcare services that do not improve health. There has been an assumption that because providers are paid less by Medicaid, they have no incentive to provide unnecessary services. The study, published in Pediatrics, analyzed records from almost 7 million American children in…

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The latest MACStats data release repeated trends from years ago but held a few new nuggets. Last July 857,415, or one in four, Connecticut residents were covered by Medicaid. Connecticut spent 14.9% of our state budget on Medicaid, below the US average of 16%. Our surrounding states were all above the US average — Massachusetts…

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What Connecticut can do in an election year, with a tight budget, in an unsettled economy, and Washington in gridlock Download the details ACOs and provider financial risk Accountable Care Organizations (ACOs) are large and growing systems that touch every aspect of healthcare. They make money by reducing their patients’ care costs. Unlike insurers, ACOs…

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Connecticut residents are healthier than all but three other states. According to the latest America’s Health Rankings by the United Health Foundation. That is down from third last year, and below 2006 and 2008 when we were the healthiest in the nation. Despite the wobbling, we consistently rank well. Unfortunately, our health isn’t reflected in…

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The Institute for Clinical and Economic Review has opened nominations for membership on their New England Comparative Effectiveness Public Advisory Council.  New England CEPAC meets three times each year in public forums across the region to assess the evidence for treatments for specific conditions with input from stakeholders including patients affected by the condition. In…

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Download the CTHPP presentation Yesterday the Chairs and Ranking Members of the Insurance Committee convened a forum on potential reforms to lower healthcare costs. Legislators invited David Seltz from the Massachusetts Health Policy Commission. Connecticut speakers included representatives from the insurance industry, providers, state officials, a foundation and advocates. A recurring theme was the need…

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There are a thousand ways that healthcare is different than other economic sectors and those differences keep the market from working to keep care affordable. . . . An important way the healthcare market fails is that industries have powerful tools to drive the prices and use of their products that most consumers aren’t aware…

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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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Download the full report Connecticut’s General Assembly debated an unusually large number of health-related proposals this year. Some were new and some have been debated for years. Some passed, some were rejected, and some are on hold for next year. As of this writing, only the minimum wage increase bill has been signed into law…

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Negotiations over a public health insurance option in CT have broken down but other good parts of the deal remain. Reportedly, there is a budget agreement to restore HUSKY eligibility for some of the 11,000 working parents cut in 2016. DSS reports found that the large majority of the low-income parents cut from HUSKY were…

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