Analysis: The uninsured are still with us

September used to be a key month for policy wonks. We all eagerly awaited new Census numbers of the uninsured. But since passage of the Affordable Care Act (ACA), there is less attention to the uninsured. There is a sense that we are past the problem of people without coverage. But the latest Census numbers…

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More updates to CT Healthcare Explained

We are continuing to update chapters in CT Healthcare Explained. This month we finished a complete overhaul of the Hospitals chapter. Last month we finished Consolidation and big health systems. Next is Quality. Connecticut’s healthcare system is deeply confusing. Too often people motivated to advocate for change find themselves frustrated and give up. To help…

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Six common myths about healthcare and three reasons why people believe them

Healthcare is complicated, people are easily confused, and there are powerful motivations to believe the many misconceptions. I was reminded of this at the last meeting of the industry-led group that is steering the state’s efforts to control healthcare costs. But the problem isn’t limited to industry representatives. Read more

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Book Club: Random Acts of Medicine

Deliberately randomized experiments in medicine and health policy are usually not possible, or even moral. But with increasingly available data and random changes in circumstances, natural experiments can teach us a great deal about what works and what doesn’t. Random events have a huge impact on our health, more than we’d like to acknowledge. Random…

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CT Healthcare Explained is updating

We are taking on the massive project of updating CT Healthcare Explained. We just finished the Workforce chapter, including updated numbers and wages for the broad range of people who provide healthcare. We’ve included trends, shortages, disparities, and changes happening and recommendations for improvement. We updated Healthcare Costs last month. Hospitals are next. Connecticut’s healthcare…

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CT medical debt levels declining, new state law will help even more

The percent of Connecticut residents with medical debt is coming down, but it still affects one in 28 of us, according to a fascinating new tool from the Urban Institute. In a survey last year, 3.5% of Connecticut residents (blue line) reported they have medical debt that has been referred to collections, down from 8.6%…

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Analysis: Newest Hartford Healthcare lawsuit adds a critical twist

Yet another lawsuit against Hartford Healthcare (HHC) may seem obscure and limited to healthcare, but it goes much further. There is overwhelming evidence that prices for care at huge health systems like HHC are driving up healthcare prices for private health plans in Connecticut and it’s getting worse. The third anti-trust lawsuit against HHC outlines…

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CT inflation adjusted RN and NP pay

Becker’s Hospital Review has calculated 2023/2024 hourly pay levels for Registered Nurses (RNs) and Nurse Practitioners (NPs) by state. Adjusted by the Cost of Living Index, Connecticut ranks 16th highest for RNs but only 33rd for NPs among states. Adjusted Connecticut rates are similar to comparable Northeastern states. Without adjustment for the cost of living,…

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Good and bad news in CT hospital fair share spending

US non-profit hospitals receive federal, state, and local tax breaks totaling tens of billions of dollars. Taxpayers must pay more to cover those losses. In exchange, hospitals are expected to devote resources to improving their community’s health. Nonprofit hospitals must report their community benefit spending to the IRS. The Lown Institute has published their 2024…

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Study finds CT private healthcare payment rates more than double Medicare’s, close to US average

A new study by RAND analyzing provider payments rates for commercial plans finds Connecticut’s 2022 rates averaged two and half times (258%) what Medicare would’ve paid for the same services at the same hospital (Relative Price). There was little variation by overall type of services. However, individual Connecticut hospitals varied considerably in Relative Price. There…

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