Primary care spending boost and capitation didn’t work in private plans either

The big idea circulating in some CT health policy circles to control the costs of healthcare is to boost primary care with tons of money and capitate provider payments. Primary care is regular health care for prevention, like check-ups, and common health problems. A new study finds that the idea failed in private insurance, as…

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OP-ED: Be careful in making changes when the glass is half full

There is good news on Connecticut health spending – and we can use it. Analysis of new data has found, not surprisingly, that Connecticut residents spend a lot on healthcare. But the good news is that our average annual rate of growth, at 1.8%, was the ninth lowest among states from 2013 to 2019. We…

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Cost Cap finds drugs driving up healthcare spending, but we knew that, and their numbers are misleading

The latest analysis by Mathematica for the Office of Health Strategy’s plan to cap healthcare costs used a small slice of a small slice of Connecticut’s drug spending. We already knew, from other sources, that drug spending is a main driver of rising healthcare costs in Connecticut and the problem is skyrocketing prices. OHS’s analysis…

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Book Club: Think Again

You have to read Think Again: The Power of Knowing What You Don’t Know by Adam Grant. We all think our minds are open, but we’re wrong. Intelligence is nice, but the critical skills are rethinking, relearning, and the courage to dump baggage. The Dunning-Kruger effect is real – the people with the most confidence…

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CTNJ: Fact Check Shows That Raising Primary Care Spending Doesn’t Lower Total Healthcare Costs

The Office of Health Strategy and their consultants have asserted that it is critical to double spending on primary care in Connecticut to lower skyrocketing  total healthcare costs. It’s very appealing to think that increasing investments in prevention and care management will reduce total costs. It avoids the difficult work of getting large health systems…

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Why is healthcare like this?

Healthcare is complicated. It often doesn’t make sense – to consumers, patients, students, policymakers, providers, administrators, and everyone else. The lack of understanding has discouraged people from engaging and slowed progress toward real reform. We’ve heard from people across the continuum that there is no place to find balanced, comprehensive answers that is understandable and…

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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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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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FAQs on OHS’s Primary Care Roadmap

Download the FAQs here Connecticut’s Office of Health Strategy has developed a Primary Care Roadmap to support primary care in Connecticut. OHS is accepting public comment on the draft Roadmap until the close of business Friday, January 14th. To send comments, email Tina.Hyde@ct.gov and put “Primary Care Roadmap” in the subject line. You should get…

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