providers

PCMHs in CT – not the “shiny new toy” anymore but moving forward improving care, controlling costs

Ten years ago, patient-centered medical homes (PCMHs) were exotic in Connecticut. PCMHs are one of the best documented innovations to improve health. PCMHs are primary care practices that help keep people well by assessing needs, coordinating care, and giving people the skills and resources to maintain their own health. As a nurse managers told me,…

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New PCMH + plans overlook past problems

Wednesday DSS and Mercer unveiled their thinking about plans for Wave 3 of PCMH Plus, Medicaid’s controversial shared savings program. Results from PCMH Plus’s first year, Wave 1, were disappointing with increased state costs and little evidence of improvement in quality. Based on the problems identified in Wave 1, advocates made recommendations to fix those…

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YNHH transportation plan for controversial primary care shift troubling, concerns remain

Monday, Yale-New Haven Health System answered the state’s eighth set of questions about their controversial application with the Hill Health and Fairhaven Health Centers to move primary care for 25,000 mainly low-income New Haven area residents out of the current neighborhood sites to Long Wharf. Among many concerns voiced by patients, advocates and community leaders…

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CT Healthcare Jobs Pay Very Well

Among the top 12 highest-earning Connecticut occupations last year, 11 are doctors, dentists or nurses, according to the Bureau of Labor Statistics. Chief Executives is the only non-healthcare occupation to crack the top 12 list. Lowest paid healthcare workers included Personal care assistants (20th from the bottom) and Home health aides (28th from the bottom).…

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Better, safer ideas to support primary care in Connecticut

Download the report Primary care is the foundation of the health system. It is, or should be, patients’ first interaction with the healthcare system for non-urgent issues. There is strong evidence that care coordination linked to primary care practices, such as patient-centered medical homes (PCMHs), foster improved health while lowering costs.[i] Areas with more primary…

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Practical Wisdom – The Right Way to Do the Right Thing

New to the Book Club Why do our institutions and systems, including healthcare, seem to be getting more complex and more costly but not better? This fascinating book argues that we have lost practical wisdom – the ability to balance the need for reasonable rules and standards with doing the right thing. The law of…

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More questions for YNHH about controversial primary care proposal

Yesterday, the state Office of Health Strategy sent their eighth set of questions about the controversial application of Yale-New Haven Health System and their community health center partners to move primary care for 28,500 mainly low-income New Haven area residents out of the current neighborhood sites to Long Wharf. Among others, critical concerns have been…

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What We’re Reading

Pharma lobbyists flooded Maryland to block a drug-pricing bill. Opponents pushed back – and won. STAT – The story behind the story of how a group of consumer advocates and legislators were able to prevail over Pharma’s considerable resources to get a bill passed to push back on sky high drug prices and protect consumers…

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