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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ICER seeking nominations for New England evidence review council

The Institute for Economic and Clinical Review (ICER) is seeking nominations for new members to the New England Comparative Effectiveness Public Advisory Council (New England CEPAC). In my time on the New England CEPAC, it was an exciting dive into learning new things with a team of exceptional experts and colleagues from across the region.…

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Book Club: We’ve Got You Covered

I wasn’t looking forward to reading yet another book promoting yet another idea to solve America’s broken healthcare system. But it’s my job, so I dove into We’ve Got You Covered: Rebooting American Health Care by Liran Einav and Amy Finkelstin. I’m a convert now – mostly. The first half of the book is the…

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Speaker Series #4 — Healthcare for people with developmental disabilities — Reports from other states

Following up on the first webinars  on healthcare access for people with developmental disabilities, the fourth webinar in the Fall Series will focus on Reports From Other States including Colorado, Maine, and Rhode Island. It will be Tuesday, October 31st. The Fall speaker series is sponsored by the CT Council on Developmental Disabilities and UCEDD.…

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CT commercial insurance enrollment down 5%; several possible explanations

Download the report Last year, total enrollment in Connecticut’s commercial managed care plans was 1,666,972. That was down by 85,019 from 2021 at 1,750,904, according to the this year’s Consumer Report Card from the CT Insurance Department. The drop in enrollment was almost entirely from large group plans with over 50 members and spread across…

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CT Medicaid primary care redesign: Payment reform

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. A major part of DSS’s planning for reform is…

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