CT primary care redesign: What the evidence says

Early in 2023, Connecticut’s Department of Social Services (DSS) embarked on an ambitious planning process to make significant changes to primary care delivery and payment in our state’s Medicaid program. DSS’s planning committee meeting materials and recordings are available here. In Connecticut, there have been differing perspectives about the status of primary care, Medicaid and…

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CT Medicaid costs stable but hospital spending needs monitoring

Download the report Sources below Connecticut Medicaid per member costs are stable and growing slower than other states. CT Medicaid per member costs are lower than all but 27 other states, just below the median. But hospital spending increases could erode that progress. Medicaid is not the driver of rising state budgets, growing less than…

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FAQs on OHS’s Primary Care Roadmap

Download the FAQs here Connecticut’s Office of Health Strategy has developed a Primary Care Roadmap to support primary care in Connecticut. OHS is accepting public comment on the draft Roadmap until the close of business Friday, January 14th. To send comments, email Tina.Hyde@ct.gov and put “Primary Care Roadmap” in the subject line. You should get…

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Public comment concerns with CT’s primary care plan

Read the public comments Public comment concerns with CT’s primary care plan Today, the CT Health Policy Project submitted public comments with serious concerns about the Office of Health Strategy’s plans to overhaul primary care across the state. The Project has worked for decades to improve access to high quality, affordable care for every Connecticut…

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Response to OHS primary care capitation defense

Today, the CT Health Policy Project responded to a letter from the Office of Health Strategy regarding concerns from 25 independent consumer advocates, providers, and organizations. OHS’s response to our offer to work together to improve the health of every Connecticut resident is very welcome. In that spirit, the letter clarifies a few misunderstandings of…

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Cost Cap primary care project only focusing on raising spending, not services

At the October 26th Primary Care Subgroup meeting, in response to questioning by a member, the Office of Health Strategy’s (OHS) consultants repeatedly confirmed that the goal of the Cost Cap provision on primary care is solely to raise spending, not to increase services. Members raised serious concerns about sending more money into the current…

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Sign on letter voices deep concerns with primary care capitation

Today twenty-five independent advocates and providers signed a letter to the Office of Health Strategy opposing capitation of primary care services across Connecticut. The letter shares serious concerns with the Office of Health Strategy’s (OHS) plan to shift all primary care in Connecticut to a capitated payment model. The current concerns echo advocates’ and legislators’…

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Good and bad Medicaid PCMH, PCMH Plus updates

At today’s MAPOC Care Management Committee, we learned that Medicaid’s successful Patient-Centered Medical Home (PCMH) program is growing and keeping up with higher enrollment due to COVID. In disappointing news, we also learned that the controversial PCMH Plus program has fewer care managers than expected and only 36% of ACO member advisory committees have any…

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OHS committee considering dumbing down successful PCMH standards

Among other troubling plans, the Office of Health Strategy’s Primary Care Subgroup is considering four options to certify high-performing primary care practices for higher levels of reimbursement. The committee is deciding how to double spending on primary care while simultaneously capping healthcare cost growth. At their meeting this week, the committee of mainly primary care…

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