Health Reform
Advocates offer recommendations for Medicaid shared savings future
The first year of Connecticut Medicaid’s PCMH Plus experiment in shared savings was disappointing. The program cost the state at least $1.3 million extra tax dollars and quality did not improve compared to Medicaid members outside the program. Every Accountable Care Organization (ACO), regardless of savings or quality improvement, was rewarded with a payment. The…
Read MoreBetter, safer ideas to support primary care in Connecticut
Download the report Primary care is the foundation of the health system. It is, or should be, patients’ first interaction with the healthcare system for non-urgent issues. There is strong evidence that care coordination linked to primary care practices, such as patient-centered medical homes (PCMHs), foster improved health while lowering costs.[i] Areas with more primary…
Read MorePractical Wisdom – The Right Way to Do the Right Thing
New to the Book Club Why do our institutions and systems, including healthcare, seem to be getting more complex and more costly but not better? This fascinating book argues that we have lost practical wisdom – the ability to balance the need for reasonable rules and standards with doing the right thing. The law of…
Read MoreCT needs to monitor ACOs
Accountable Care Organizations (ACOs) are a growing part of CT’s healthcare landscape. But if you’ve never heard of them, you’re not alone. ACOs are large health systems run by providers, often including hospitals, doctors, home health, nursing homes, and other providers. It is estimated that 15 to 20% of CT residents have already been enrolled…
Read MoreWhat We’re Reading this week
Welcome to What We’re Reading — our new feature at CT Health Notes. We’ll include links to background, updates and just entertaining pieces we found helpful this week. What We’re Reading is part of Advocate to Advocate, the CT Health Policy Project’s mission to expand policy capacity in our state’s advocacy community. More on that…
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 MorePublic Option Forum – high expectations, big challenges
Legislators were warned that ideas that sound simple are rarely that easy at last week’s forum on building a public option to bring down CT’s high health insurance premiums. The forum by the Insurance and Human Services Committees brought in national experts to explore the concept. The idea is to create a non-profit, publicly-accountable insurance…
Read MoreCTNJ Public Policy Forum: Would a Public Option Help Connecticut?
The second CT News Junkie Public Policy Forum will be next Thursday, Feb. 21st at 10 am in Capitol Room 310. 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. Important questions…
Read MoreCT Medicaid’s managed fee-for-service model saved $300 million last year
Updated 2/19/2019 We got very good news on Medicaid spending, again, at last week’s MAPOC meeting. Per member costs were down 2% from 2016 to last year, even despite hospital rate increases, saving taxpayers $300 million. The state’s share of Medicaid has barely budged since 2014, despite huge enrollment increases. CT remains behind other states…
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