More questions for YNHH about controversial primary care proposal

Yesterday, the state Office of Health Strategy sent their eighth set of questions about the controversial application of Yale-New Haven Health System and their community health center partners to move primary care for 28,500 mainly low-income New Haven area residents out of the current neighborhood sites to Long Wharf. Among others, critical concerns have been…

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SIM primary care capitation proposal gets another tepid reception

This week, SIM presented to the Healthcare Cabinet their proposal to capitate primary care, initially for Medicare members, but eventually for all state residents. The proposal is to move primary care to capitated “bundles” – one for basic primary care services and a voluntary, supplemental payment for expanded activities such as infrastructure and HIT and…

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YNHH answers latest questions about controversial primary care proposal

Monday Yale-New Haven Health System and their community health center partners answered the latest set of questions from the state Office of Health Strategy (formerly OHCA) to their controversial plan to move primary care services for 28,000 low-income New Haven residents out of the current neighborhood sites to Log Wharf. Under the proposal, patients’ care…

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PCMH+ update: discussions ongoing to fix problems

At yesterday’s MAPOC Care Management Committee meeting, DSS and Mercer reported on their plans for PCMH+, the controversial shared savings Medicaid program. A workgroup has been meeting at DSS to drill down on what didn’t work. DSS has lobbied the Governor to include a new Wave 3 to update the current program in his budget…

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Despite concerns, Medicaid buy-in study bill is voted out of committee

While testimony supporting the concept has fallen since last year’s version, on a party-line vote the Human Services Committee voted out bill 7339, which creates a study of public health coverage options, specifically mentioning a Medicaid buy-in. While strongly affirming the need for affordable options, in public and written testimony advocates and others raised concerns…

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State poses more questions to YNHH over primary care plan

Yesterday, CT’s Office of Health Strategy asked Yale-New Haven Health System for more information about their controversial plan Yale New-Haven’s application to shift care for 28,500 mainly low-income New Haven area residents to a new site, far from neighborhoods and to shift Medicaid billing for those patients to the two community health centers. Information requested…

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Medicaid’s Care Management program is saving lives and money, but state paying twice and savings may be going to PCMH+ ACOs

Last week, the Complex Care Committee of the Medicaid oversight council heard from CHNCT, the nonprofit that, among other things, administers our state’s Intensive Care Management (ICM) program. ICM is available to Medicaid members with complex health needs and, typically, high health costs. The ICM program includes regional teams providing comprehensive assessment and care planning,…

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CTNJ: 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

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