CT again among healthiest states overall, but with big areas of concern

Connecticut ranked 4th healthiest among states in this year’s America’s Health Ranking, from the United Health Foundation. We were the best state in climate policies, childhood immunizations, and adult dental visits. But we were in the bottom on other indicators. Connecticut is in a very healthy region of the US, with New Hampshire (#1), Massachusetts…

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ICER seeking nominations for New England evidence review council

The Institute for Economic and Clinical Review (ICER) is seeking nominations for new members to the New England Comparative Effectiveness Public Advisory Council (New England CEPAC). In my time on the New England CEPAC, it was an exciting dive into learning new things with a team of exceptional experts and colleagues from across the region.…

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Analysis: How Brain Shortcuts Undermine Policymaking

Thinking is hard work. Adult brains are only 2% of our body weight, but they use 20% of our body’s energy. To handle the load, we have evolved hard-wired shortcuts called cognitive biases that sometimes backfire. Public policymaking is not immune – it’s riddled with biases that are driving poor decisions. Read more

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Book Club — The Data Detective

The Data Detective: Ten Easy Rules to Make Sense of Statistics follows on the Book Club’s obsession with statistics and good data analysis (here, here, here, and here). Good policy rests on good evidence. There are good sources, including the books linked above, that uncover misleading information, with clues to identify them, and that’s important.…

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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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