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healthcare markets

CT insurers lost enrollment in 2018, Spent 89% of premiums on medical care

There were 332,015 fewer Connecticut residents with commercial insurance coverage last year than in 2017, according to the latest Consumer Report Card from the CT Insurance Department. All insurers lost enrollment. The report also includes important information for consumers including member satisfaction performance, numbers of participating providers by county, medical measures such as cancer screens,…

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CT healthcare price variation varies

Prices vary by city and for selected healthcare treatments, in some cases substantially, according to Healthscore CT, using the new All Payer Claims Database from the CT Office of Health Strategy and UConn Analytics and Information Management Solutions. The site provides important information on cost and quality for consumers and payers shopping for healthcare services…

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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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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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As provider shortages grow, salaries are up, Eastern physicians lag behind rest of US

From 2017 to 2018 total compensation rose 3.4% for primary care physicians and 4.4% for specialists across the nation, according to Physicians Practice. Total provider compensation rose between 7 and 11% over the last five years. The highest increasing specialty from 2017 to 2018 was 7.71% for diagnostic radiology. Physician assistants’ and nurse practitioners’ total…

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ACA @10: Conference on the Affordable Care Act’s status and future

Join leaders who helped pass and implement the Affordable Care Act, September 26th and 27th at the Yale Law School for The ACA at Ten, a conference to reflect on the Affordable Care Act. Speakers include Rahm Emanuel, Kathleen Sebelius, and 22 other scholars and policymakers. Speakers will examine the ACA’s successes, shortcomings, and future.…

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Large study finds selection bias in Medicare shared savings erases savings and quality improvements – advocates saw this coming

Researchers from the University of Michigan found that the modest savings and quality improvements reported by Medicare’s extensive shared savings program (MSSP) are likely due to adverse selection. High cost clinicians and beneficiaries were far more likely than others to exit the program. When adjusted for the selective bias in MSSP exit, reported savings and…

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