Download the report This week, the Office of Health Strategy (OHS) unveiled their plan to monitor for unintended consequences of their plan to cap healthcare cost increases. OHS acknowledged in the plan that the Cap “may cause providers to reduce provision of necessary healthcare services so as not to exceed the benchmark.” Only a very…

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Download the report The latest reports (here and here) on Massachusetts’s first-in-the-nation cost cap project raise questions about whether it has worked. Since the cap was implemented in 2013, consumer costs are growing faster than overall healthcare, inflation, or incomes. Despite almost eight years under their cost cap, Massachusetts’s out-of-pocket costs and premiums have grown…

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The President was right – healthcare is complicated. There are lots of reasons, but a big one is language. What something is called can add to or lessen understanding. Sometimes it can be deceptive, giving the impression of a more acceptable definition than the truth. It rarely works for long, but a lot of harm…

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A new CMS analysis finds that between 2015 and 2019, US insurance premiums rose while enrollment in insurance exchanges went down. The report found that 85% of the drop in enrollment was in unsubsidized coverage. People with incomes below 400% of the federal poverty level ($51,040 for an individual, $86,880 for a family of three)…

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A new data set and report from RAND finds that Connecticut hospital prices paid by commercial plan were 215% of Medicare in 2018, varying from 144% for UConn Health to 282% for Stamford Health. If commercial plans had paid the same rates as Medicare that year, consumers would have saved $510 million. While high, Connecticut…

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Last week’s meeting of the Office of Healthcare Strategy’s Cost Cap committee, as they are wrapping up the project design, ended with discussion of how to ensure their project is successful in controlling healthcare costs. Despite developing the Cap during a pandemic, there has been considerable resistance and mistrust of the concept and the process.…

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In response to stakeholder feedback that the prior Cost Cap levels were unrealistic and risk unintended harm to patients, at their last meeting the Office of Health Strategy’s Cost Cap committee slightly softened the cap levels. The committee continued their discussion of which providers qualify as primary care providers. OHS wants to significantly increase the…

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In response to stakeholder concerns, at their July 29th meeting the Office of Health Strategy’s (OHS) Technical Team choosing the cap for future Connecticut healthcare costs eased their previous decision on how much healthcare costs for every state resident will be allowed to increase over the next five years. Many stakeholders have voiced concerns that…

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In meetings of the committee setting limits on healthcare spending for all Connecticut residents, it appears the advocates’ sign on letter and detailed concerns about the Office of Health Strategy’s (OHS’s) Cost Cap project were not heard. The plan is being developed by a Technical Advisory Team, with members chosen only by OHS, including some…

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The pandemic has been tragic in both lives lost and economic damage, especially to low wage workers. Our already flawed healthcare system has been seriously disrupted. Insurer profits are up, hospitals are losing money, and Connecticut healthcare jobs in April were down 28,400 from the year before. As the pandemic winds down, the recovery offers…

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