healthcare costs

CTNJ: 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…

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CT 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.…

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2020 insurance premium requests increase lower for individuals on AccessHealthCT, most of whom are subsidized, older and higher risk

Connecticut insurers have filed their requests for individual and small group premium increases for 2020 with the CT Insurance Dept. Requests vary from an average reduction of 9.8% for CTCare individual plans outside AccessHealthCT, our state’s insurance exchange, to 22% average increases for Aetna small group plans also outside AccessHealthCT. Six in ten people in…

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Join webinar for patients on leading methodology to evaluate the value of costly treatments

September 4th all patients and groups are invited to a webinar to give input on ICER’s Value Assessment Framework methods. The non-profit Institute for Clinical and Economic Review (ICER) is the nation’s leading independent analyst of evidence on the effectiveness and value of drugs and other treatments. ICER produces public reports used by Medicare, Medicaid,…

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State approves controversial New Haven primary care move

Friday, the state Office of Health Strategy gave final approval Yale-New Haven’s application to move primary care for over 25,000 low income consumers out of neighborhoods and shift them to the Cornell Scott and Fairhaven health centers for payment purposes. Under the final agreement patients would still be cared for by the same YNHH primary…

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PCMH + 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…

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Proposed 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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