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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CT remains behind surrounding states in public health support

According to a new analysis by SHADAC, Connecticut remains behind our neighboring states in per person spending on public health. The pandemic has spotlighted the critical roles of public health including emergency preparedness, disease prevention, population health monitoring, and health promotion. Public health has been responsible for most of the increases in life expectancy in…

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Book Club: Medical Apartheid

Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present is very difficult to read. I stopped and re-started several times. You may know something about the Tuskegee syphilis project, but the wanton use and abuse of Black Americans as medical subjects goes much farther and continues into…

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Very helpful data Roadmap to promote health equity in CT

While residents of Connecticut’s minority communities face significant disparities in health outcomes compared to white state residents, there has been no consistency or standardization of Race, Ethnicity and Language (REL) data collection. A new state law requires, among other things, that providers and state entities collect REL data using standard categories. A new report from…

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OP-ED | Controversial New Alzheimer’s Drug Could Break the Bank

Alzheimer’s disease affects six million Americans, stealing memories years before it takes lives. Aduhelm, the first drug intended to treat the Alzheimer’s disease process rather than symptoms, was highly anticipated by patients and families. But it has disappointed on many levels. It isn’t clear that it actually helps patients and troubling side effects are common.…

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BOOK CLUB — The Right Price: A Value-Based Prescription for Drug Costs

For your summer reading. The Right Price: A Value-Based Prescription for Drug Costs offers the best explanation I’ve found of how drug costs are set, and how they should be. Using real-life patient stories, the authors give a balanced and comprehensive look at fair and reasonable pricing for a product that epitomizes market failure. The…

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CT ‘deaths of despair’ high and rising faster than other states

In 2019 per capita, Connecticut had 19% more deaths due to  alcohol, drugs or suicide and these deaths of despair increased over four times faster than the US average, according to a new report from the Trust for America’s Health. Connecticut’s rates of drug-induced deaths were largely responsible at 58% higher than the US average.…

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CT’s well-being is improving, even during the pandemic

Connecticut ranked seventh among states in overall health and well-being last year, according to the latest Community Well-Being Index from the BU School of Public Health. According to the Index, “well-being is about the interaction between physical health, finding your daily work and experiences fulfilling, having strong social relationships and access to the resources you…

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CT hospital quality improves in new CMS star ratings

Download the report Connecticut hospitals improved their overall quality performance this year, according to Medicare.gov Compare’s 2021 update. Connecticut hospitals averaged 3.0 stars out of five last year, moving to 3.5 in this year’s ranking. While 3.5 stars is still too low, especially given the cost of healthcare in Connecticut, things are moving in a…

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CT ozone pollution among worst in US

Fairfield is the 19th most ozone polluted US county for 2017-2019 according to the American Lung Association’s latest report on the nation’s air quality. All but two Connecticut counties earned an F for the number of high ozone days. High ozone levels cause inflammation in the lungs, decreased lung function, and susceptibility to respiratory infections…

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