CT middle of the pack for doctors

Connecticut ranks 29th in a new analysis on the Best and Worst States for Doctors by Wallet Hub. Physicians are seventeen of the twenty highest paid US workers. Connecticut tied for 45th worst for the highest malpractice award payouts. We rank 15th in our Medical Environment, which includes the quality and safety of hospital care,…

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Book Club: Recoding America – Why Government is Failing in the Digital Age and How We Can Do Better

If you’ve ever muttered under your breath about the inefficiency/waste/frustration/etc of government at all levels, you have to read Recoding America – Why Government is Failing in the Digital Age and How We Can Do Better, by Jennifer Pahlka. I don’t think I’ve ever dogeared as many pages in a book. While the author explores…

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Bristol Health Cares explores advocacy in CT healthcare

A recent episode of Bristol Health Cares features a conversation with Kurt Barwis, President and CEO of Bristol Health and Ellen Andrews, of the CT Health Policy Project. Bristol Health Cares is a wide-ranging program with guests ranging from providers, community leaders, to innovators about navigating healthcare and answering questions. The conversation touched on the…

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Webinar offers tools to improve prescribing

Download the slides and watch the webinar recording Connecticut, like other states, are struggling to improve appropriate prescribing while lowering costs. In Friday’s webinar, Greg Low, RPh, PhD, offered Mass General’s experience of what works to improve physician prescribing at their ACO. Greg is the Manager for Pharmacy Operations at Mass General Brigham Health Plan.…

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Connecticut health care coverage continues slow shift from private to public coverage

Download the report The latest numbers from the US Census on US health coverage in 2022 found that, as in the past, most Connecticut residents are covered through an employer-sponsored plan. Publicly-funded Medicare and Medicaid each cover about one in five Connecticut residents. While employer-sponsored coverage has slowly declined since 2008, public programs have grown,…

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Making it work: Connecting medical and social care in Waterbury

As healthcare costs skyrocket, policymakers are searching for ways to improve the social drivers of poor health with little success. The problem is that the medical system has all the money, while community services manage on shoestrings, and they don’t connect with each other. Some innovators in Connecticut are doing the work to connect the…

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CT smoking costs total $4.9 million over a lifetime

A new analysis by Nerd Wallet finds that smokers in Connecticut cost an extra $4.9 million over a lifetime or $102,883 per year on average, the 4th highest rate in the US. Only smokers in New York, the District of Columbia, and Maryland have higher costs. Costs include not only out-of-pocket costs for cigarettes, but…

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Comments on Medicaid maternity bundle plans

DSS is planning to move Medicaid payments for maternity services to a per-person bundle from the current fee-for-service arrangement. They will also expand services to include doula and lactation supports. However, advocates have asked questions and raised concerns about unintended consequences when providers make more money by reducing the costs of their patients’ care. While…

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CT Medicaid Primary Care Redesign: What the Evidence Says Part 4: Better, Safer Options

Download the full report with sources Connecticut Medicaid is considering reforms to primary care delivery and payment. The CT Health Policy Project is collecting evidence from other states and programs to help inform that planning. Part 1 focused on Connecting with community services to improve health. Part 2 explored primary care payment reform, especially value-based…

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Book Club: Healthy Voices, Unhealthy Silence: Advocacy and Health Policy for the Poor

It was difficult to read Healthy Voices, Unhealthy Silence by Colleen Grogan and Michael Gusmano; thankfully it is short. It explores Connecticut’s adoption of managed care for Medicaid in 1996. The picture it paints is not flattering. Published in 2007, I’m embarrassed that I hadn’t seen this book before now. The authors track the implementation…

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