How CT can save $162 million in healthcare waste

An analysis of Connecticut’s commercial insurance markets finds we spent $9.45 per person per month on wasteful low-value care in 2019, according to a new report by VBID Health. Of the $162 million total, $24.5 million was from patient out-of-pocket costs. Low-value care provides no or minimal benefit to patients and is an important driver…

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Book Club: Think Again

You have to read Think Again: The Power of Knowing What You Don’t Know by Adam Grant. We all think our minds are open, but we’re wrong. Intelligence is nice, but the critical skills are rethinking, relearning, and the courage to dump baggage. The Dunning-Kruger effect is real – the people with the most confidence…

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DSS’s new patient survey has little to say

DSS’s consultants reported on the results from their new patient experience/satisfaction survey for PCMH Plus members at this month’s MAPOC Care Management Committee meeting. The survey is important as the experimental PCMH Plus payment model risks inappropriately denying needed care and cherry-picking more lucrative patients. The main result, revealed in answer to a question, is…

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Good News — Senate passed SB-416 to lower healthcare prices

On Wednesday, the Senate voted 29 to 4 to pass SB-416, An Act Promoting Competition in Contracts Between Health Carriers and Health Providers, without amendments. The bill passed out of the insurance committee unanimously and received overwhelmingly positive feedback in the public hearing. Two lawsuits have been filed against Hartford Healthcare for anti-competitive conduct, driving up…

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Book Club: The Long Fix

I’ve been avoiding reading The Long Fix: Solving America’s Health Crisis with Strategies that Work for Everyone by Vivian Lee. But this semester, one of my students asked if she could read it for her Book Review assignment. I couldn’t really refuse, so I had to read it too. The author, a physician and healthcare…

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CTNJ: Fact Check Shows That Raising Primary Care Spending Doesn’t Lower Total Healthcare Costs

The Office of Health Strategy and their consultants have asserted that it is critical to double spending on primary care in Connecticut to lower skyrocketing  total healthcare costs. It’s very appealing to think that increasing investments in prevention and care management will reduce total costs. It avoids the difficult work of getting large health systems…

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Why is healthcare like this?

Healthcare is complicated. It often doesn’t make sense – to consumers, patients, students, policymakers, providers, administrators, and everyone else. The lack of understanding has discouraged people from engaging and slowed progress toward real reform. We’ve heard from people across the continuum that there is no place to find balanced, comprehensive answers that is understandable and…

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New tool finds all CT health systems’ commercial prices are far higher than needed to cover expenses

According to a new tool, Connecticut hospitals would have needed commercial rates equal to 135% of Medicare levels in 2020 to cover their expenses, much higher than the US average of 114%. However, every health system in Connecticut charged well above that level, far more than needed to cover expenses. The National Academy for State…

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25 Advocacy organizations urge legislative leaders to drop OHS Primary Care Roadmap

Download the letter On Tuesday, twenty-five independent advocacy organizations, including the CT Health Policy Project, sent a letter to Connecticut legislative leaders voicing concerns with the Office of Health Strategy’s (OHS’s) controversial “Roadmap for Strengthening and Sustaining Primary Care”. Advocates are concerned that the Roadmap diverts $3.9 billion/year when fully implemented in 2025 away from…

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