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Survey finds CT ACOs planning services for high need members
Similar to national results, a new survey of Connecticut Accountable Care Organizations for MAPOC’s Complex Care Committee by the CT Health Policy Project finds that most are using multiple methods to identify high need members. But they are still working on implementing effective programs to address the needs. Many of their plans follow best practices…
Read MoreConnecticut’s uninsured rate stabilizes, retaining ACA gains
Download the report New numbers from the US Census Bureau report that 187,000 or 5.3% of Connecticut residents were uninsured last year. That number is down slightly from the year before when the uninsured rate was 5.5%, but above 2016’s rate at 4.9%. The new data continues the trend of fewer uninsured that began with…
Read MorePCMH + risk scores suggest possible gaming or worse; Advocates call on DSS to delay expansion to protect members and taxpayers
A new analysis of PCMH + members’ risk scores finds unexplained increases compared to the control/comparison group that could signal ACO gaming of the system for financial gain and/or, far worse, a decline in the health of members in the program. PCMH Plus, a controversial new payment model, allows ACO (large health systems) to share…
Read MoreCTNJ: Public Option Discussion Moves Forward
Connecticut healthcare insurance premiums are expensive, pricing out too many individuals and businesses. This session, lawmakers are considering whether to create a public insurance option, accountable to government, to bring down costs. Yesterday, CT News Junkie’s second public policy forum at the Capitol explored the issue with policymakers and experts. Hear the discussion
Read MoreSeven years later, Connecticut Medicaid still saving taxpayers money
Download the report As with most health care in Connecticut, Medicaid spending was rising quickly before 2012 growing by almost half over the prior four years. But in 2012, Connecticut made a remarkable and unique move — Medicaid switched from a capitated payment model using private insurers to a care coordination-focused, self-insured payment model. Since…
Read MoreConnecticut’s uninsured rate up, reversing four-year trend
New numbers from the US Census Bureau report that 194,000 or 5.5% of Connecticut residents were uninsured last year. That number is up 22,000 from the year before when the uninsured rate was 4.9%. The new data breaks a trend of fewer uninsured that began with implementation of coverage expansions under the Affordable Care Act…
Read More31 ways to save on healthcare in Connecticut’s budget
Connecticut’s state budget is facing future deficits and health spending is a large share of the budget. The state now spends $3.8 billion between Medicaid and the state employee health plan to cover about a million state residents. Health care spending outside the state budget is also growing. Connecticut has the sixth highest per capita…
Read MoreCalls needed to save healthcare for 13,000 working parents
Unless legislators act soon, 13,000 working parents will lose HUSKY coverage this coming January 1st. Sally Grossman, one of those parents with two small children, runs her own house painting business. According to Sally, “Every year I do a little better. But if I earn over $28,000, I lose my health insurance.” Click here for…
Read MoreChartbook: Prescription drugs driving CT health costs across payers
According to a new Chartbook, prescription drugs are the largest driver of health costs in our state. We spend more per person on prescriptions than all states but Delaware and that number is rising faster here than most states. Charts regarding Medicaid spending have been corrected to reflect that pharmacy costs in the program have…
Read MoreCTNJ: Advocates must inform consumers of risks when the state won’t
This week, independent advocates launched PCMHPlusFacts.org, a campaign to give HUSKY members balanced information about an experimental, new payment model expanding across the program. PCMH Plus has risks for consumers along with possible benefits, but HUSKY members aren’t aware of them or that they have the right to opt-out of the new payment model. Read more
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