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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At MAPOC’s Care Management Committee meeting Wednesday, the state provided the latest numbers from the successful Person-Centered Medical Home program. PCMHs are primary care practices that coordinate care for patients, offer expanded hours, and address population health needs. The program continues to grow, adding 52 primary care providers and seven new sites of care in…

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It’s great that Connecticut hospitals are using technology to help busy providers connect patients with community services. Without basics like healthy food and safe shelter, patients can’t heal and healthcare costs rise. But referrals are only the first step. The institutions in communities on the other end of the referrals that provide those critical services…

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The latest MACStats data release repeated trends from years ago but held a few new nuggets. Last July 857,415, or one in four, Connecticut residents were covered by Medicaid. Connecticut spent 14.9% of our state budget on Medicaid, below the US average of 16%. Our surrounding states were all above the US average — Massachusetts…

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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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As in the past, Medicaid patients of Connecticut’s community health centers are far more likely to visit an ED than other Medicaid patients, according to a presentation by CHNCT at Friday’s Medicaid Council meeting. While rates have decreased a bit, the very large gap in ED use rate between clinic patients and other Patient-Centered Medical…

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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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For the second month in a row, MAPOC focused in on the Medicaid transportation contractor’s performance Friday. Questions about Veyo, the contractor, have persisted since they were chosen by DSS. There were more questions than answers at Friday’s meeting, including what terms mean in the report. The number of rides the state is getting for…

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