Health Reform
Five healthcare issues to follow in 2020
What Connecticut can do in an election year, with a tight budget, in an unsettled economy, and Washington in gridlock Download the details ACOs and provider financial risk Accountable Care Organizations (ACOs) are large and growing systems that touch every aspect of healthcare. They make money by reducing their patients’ care costs. Unlike insurers, ACOs…
Read MoreSurvey 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 MoreCTNJ Analysis: When Making Things Better Makes Things Worse: Algorithms, Data and Racial Bias
Unintended consequences are old news; so why are we surprised every time it happens? Computer programs developed to target care management services to people with serious complex conditions were meant to make important health decisions based on data but instead favored White patients over sicker Black patients. Read more
Read MoreBipartisan Insurance Committee forum finds a lot of consensus on potential reforms
Download the CTHPP presentation Yesterday the Chairs and Ranking Members of the Insurance Committee convened a forum on potential reforms to lower healthcare costs. Legislators invited David Seltz from the Massachusetts Health Policy Commission. Connecticut speakers included representatives from the insurance industry, providers, state officials, a foundation and advocates. A recurring theme was the need…
Read MoreCTNJ: CT’s uninsured rate is down and stable, so who’s still uninsured?
According to the latest numbers from the US Census, 187,000 Connecticut residents or one in twenty of us, were uninsured last year. That’s both good and bad news. Read more
Read MoreCT Medicaid child checkup rates jumped when HMOs were fired
Well-child screenings increased twelve percent for HUSKY children between FY 2001 and FY 2012, according to a new report from the Government Accounting Office. While correlation is not causation, it is important to note that on January 1, 2012 Connecticut Medicaid payment shifted from capitation through private managed care companies to our current managed fee-for-service…
Read MoreCTNJ: CT Medicaid is making the same mistake, again
Despite warnings, the state is about to make a big mistake, again. DSS is planning to renew PCMH Plus, their risky Medicaid experiment that has cost the state more and done nothing to improve care, jeopardizing hard-earned progress. Two years ago, when the state wanted to expand PCMH Plus the first time, advocates raised alarms…
Read MoreCT Health Policy Project’s 20th Anniversary: Progress, but lots of challenges ahead
Read the report Since 1999, when the CT Health Policy Project was founded, Connecticut’s healthcare landscape has changed in both predictable and unpredictable ways. Costs are rising faster than our economy is growing, and those costs are falling disproportionately on consumers. Experts are predicting another recession and it’s unclear if Connecticut’s healthcare landscape is ready.…
Read MoreCTNJ: A recession is coming and it could hit Connecticut healthcare hard
While President Trump disagrees, a recent survey found that three in four economists expect the US economy to enter a recession by 2021. Recessions are a natural part of the economic cycle – it’s not a question of whether it will happen, but when. The last recession, in 2008, hit Connecticut especially hard, and in…
Read MoreProposed federal rule would require hospitals to post negotiated rates
A new proposed federal regulation (called a “rule”) would allow consumers to compare negotiated service prices by hospital and by payer. These would be the real prices paid by insurers, both hospital and payer-specific prices, as well as gross prices. This information could be extremely helpful for consumers without insurance and those with high deductibles…
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