Medicaid Council update – PCMH + and national Medicaid proposals
Friday’s MAPOC meeting started with an update about the shared savings experiment that covers 137,037 members and started January 1st. Contracts have been finalized with nine ACOs.
|
enrollment
|
% of total
|
|
|
NEMG/Yale
|
7,509
|
5.5%
|
|
St. Vincent’s
|
18,086
|
13.2%
|
|
Fairhaven HC
|
7,811
|
5.7%
|
|
Cornell Scott-Hill HC
|
13,781
|
10.1%
|
|
Generations Family HC
|
8,000
|
5.8%
|
|
Southwest CHC
|
8,299
|
6.1%
|
|
Community Health Center, Inc.
|
44,917
|
32.8%
|
|
Optimus HC
|
21,304
|
15.5%
|
|
Charter Oak HC
|
7,330
|
5.3%
|
|
Total
|
137,037
|
100.0%
|
Concerns were raised and dismissed by DSS about the timing of the planned next wave of 200,000 members into the experimental program without the benefit of a robust evaluation of the impact on first 137,037 and on the state budget.
The Council also discussed troubling national proposals to limit Medicaid funding, add administrative complexity (because it’s not bad enough now), and the impact on CT.