Good and bad Medicaid PCMH, PCMH Plus updates

At today’s MAPOC Care Management Committee, we learned that Medicaid’s successful Patient-Centered Medical Home (PCMH) program is growing and keeping up with higher enrollment due to COVID. In disappointing news, we also learned that the controversial PCMH Plus program has fewer care managers than expected and only 36% of ACO member advisory committees have any…

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CT remains behind surrounding states in public health support

According to a new analysis by SHADAC, Connecticut remains behind our neighboring states in per person spending on public health. The pandemic has spotlighted the critical roles of public health including emergency preparedness, disease prevention, population health monitoring, and health promotion. Public health has been responsible for most of the increases in life expectancy in…

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CTNJ: CT needs to focus on real health reform

Connecticut insurance premiums were the sixth highest among states for both individual and family coverage in 2019. Making healthcare more affordable was the drumbeat from voters last year. But CT policymakers have responded with weak options that kick the can down the road. Controlling the drivers of health costs is advanced placement politics. Powerful industries…

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OHS committee considering dumbing down successful PCMH standards

Among other troubling plans, the Office of Health Strategy’s Primary Care Subgroup is considering four options to certify high-performing primary care practices for higher levels of reimbursement. The committee is deciding how to double spending on primary care while simultaneously capping healthcare cost growth. At their meeting this week, the committee of mainly primary care…

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Very helpful data Roadmap to promote health equity in CT

While residents of Connecticut’s minority communities face significant disparities in health outcomes compared to white state residents, there has been no consistency or standardization of Race, Ethnicity and Language (REL) data collection. A new state law requires, among other things, that providers and state entities collect REL data using standard categories. A new report from…

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New Medicaid homelessness prevention program shows promise

Starting August 1st, Medicaid members at risk of homelessness will have access to housing support services and subsidies through the new CHESS program. The program is designed to address upstream problems to prevent future problems and improve overall health. Described at today’s MAPOC meeting, the plan expects to serve about 850 Medicaid members with care…

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BOOK CLUB — The Right Price: A Value-Based Prescription for Drug Costs

For your summer reading. The Right Price: A Value-Based Prescription for Drug Costs offers the best explanation I’ve found of how drug costs are set, and how they should be. Using real-life patient stories, the authors give a balanced and comprehensive look at fair and reasonable pricing for a product that epitomizes market failure. The…

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CT’s well-being is improving, even during the pandemic

Connecticut ranked seventh among states in overall health and well-being last year, according to the latest Community Well-Being Index from the BU School of Public Health. According to the Index, “well-being is about the interaction between physical health, finding your daily work and experiences fulfilling, having strong social relationships and access to the resources you…

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NPR’s Frontline features Waterbury Hospital and private equity impact on hospitals

The latest NPR/Frontline investigation focuses on very unequal resources at US hospitals due to market forces and unequal government support. The second half of the documentary focuses on the impact of private equity buying safety net hospitals, which has doubled in the last decade. An expert describes how private equity firms purchase under-valued hospitals, cut…

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Public comment opposing sales of medical records to fund HIE

Read the full comments and the March 2020 letter from 22 advocates with concerns Today the CT Health Policy Project submitted public comment opposing the Office of Health Strategy’s medical record privacy policy proposals. Specifically advocates oppose selling access to Connecticut residents’ medical records through paid subscriptions. In addition to the harm to individuals, this…

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