A new study finds that both Medicaid and privately insured children frequently receive healthcare services that do not improve health. There has been an assumption that because providers are paid less by Medicaid, they have no incentive to provide unnecessary services. The study, published in Pediatrics, analyzed records from almost 7 million American children in…

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What Connecticut can do in an election year, with a tight budget, in an unsettled economy, and Washington in gridlock Download the details ACOs and provider financial risk Accountable Care Organizations (ACOs) are large and growing systems that touch every aspect of healthcare. They make money by reducing their patients’ care costs. Unlike insurers, ACOs…

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Worker costs for health insurance are growing in all states, including Connecticut, both in total dollars and as a proportion of median incomes, according to a new analysis by the Commonwealth Fund. Connecticut has not been hit as hard as other states, because in the past growth in median income here was strong. But that…

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Similar to national results, a new survey of Connecticut Accountable Care Organizations for MAPOC’s Complex Care Committee by the CT Health Policy Project finds that most are using multiple methods to identify high need members. But they are still working on implementing effective programs to address the needs. Many of their plans follow best practices…

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The Institute for Clinical and Economic Review is seeking input on non-drug topics they should study for 2020. An independent nonprofit research institute, ICER is the US leader in assessing the evidence on the effectiveness and value of drugs and other medical services. ICER’s reports and pricing benchmarks that represent a good value for consumers…

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Download the CTHPP presentation Yesterday the Chairs and Ranking Members of the Insurance Committee convened a forum on potential reforms to lower healthcare costs. Legislators invited David Seltz from the Massachusetts Health Policy Commission. Connecticut speakers included representatives from the insurance industry, providers, state officials, a foundation and advocates. A recurring theme was the need…

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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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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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A new report from the Kaiser Family Foundation estimates that 529,000 non-elderly adults (24%) in Connecticut have pre-existing health conditions that could affect their ability to get or afford health insurance if the Affordable Care Act (ACA) is overturned. Researchers estimate that 27% of non-elderly adult Americans have a health condition and 45% of families…

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