To make health premiums affordable, CT must address input costs

Download the report here Health benefits in Connecticut are costly and rising faster than inflation. Last year, total employer-sponsored health insurance premiums in Connecticut were the sixth highest among states for both single and family coverage. Connecticut workers paid 7.8% more for single coverage and 4.3% more for family plans than other Americans. Although Connecticut…

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Cost Cap underservice monitoring plan is very weak, puts people at risk

Download the report This week, the Office of Health Strategy (OHS) unveiled their plan to monitor for unintended consequences of their plan to cap healthcare cost increases. OHS acknowledged in the plan that the Cap “may cause providers to reduce provision of necessary healthcare services so as not to exceed the benchmark.” Only a very…

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Has MA’s cost cap worked? Should CT copy it?

Download the report The latest reports (here and here) on Massachusetts’s first-in-the-nation cost cap project raise questions about whether it has worked. Since the cap was implemented in 2013, consumer costs are growing faster than overall healthcare, inflation, or incomes. Despite almost eight years under their cost cap, Massachusetts’s out-of-pocket costs and premiums have grown…

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Advocates urge Cost Cap delay for data, safety

A group of advocates sent Governor Lamont a letter about the Cost Cap project today raising new, heightened concerns since our May letter. This follows a similar letter sent last week from Connecticut’s three legal services organizations, which also included concerns about Medicaid’s PCMH Plus program. The Cost Cap is a controversial project of the…

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OHS committee considers how to sell the Cost Cap to stakeholders

Last week’s meeting of the Office of Healthcare Strategy’s Cost Cap committee, as they are wrapping up the project design, ended with discussion of how to ensure their project is successful in controlling healthcare costs. Despite developing the Cap during a pandemic, there has been considerable resistance and mistrust of the concept and the process.…

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OHS Cost Cap committee retreats on quality, providers driving the delay

The Office of Health Strategy (OHS) rejected concerns been raised by stakeholders and some Cost Cap committee members that the Cost Cap on healthcare spending will be implemented at least a year before reporting on quality performance. Concerns center on the possibility of lowering costs by lowering the quality of care to achieve the ambitious…

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Cost Cap outside input very different depending on perspectives

OHS got very different feedback on their Cost Cap project from two outside committees last week. The Healthcare Cabinet, chaired by OHS, was very supportive with one exception. In contrast, members of the Medicaid Oversight Council shared concerns only. In some respects, this reflects the differing experiences with past reforms between Medicaid and commercial plans.…

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One in three CT residents reported anxiety or depressive symptoms in June

Since the pandemic started, more people are reporting symptoms of mental illness. According to the Kaiser Family Foundation, 19% of Connecticut residents are experiencing mental illness and 36.6% report depressive or anxiety symptoms last month. Connecticut adolescents are twice as likely to report a major depressive episode as adults but adults are three times more…

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Fact Check: Are primary care doctors underpaid?

Download the Fact Check A statement was made in a recent Connecticut state public meeting that primary care physicians are paid less than specialists. The statement was made a recent Technical Team meeting for the Office of Health Strategy’s cost cap project considering a substantial increase in spending on primary care. The facts, however, are…

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Unique hospital ranking includes community and value of care with traditional quality metrics

The Lown Institute now ranks hospitals on 53 metrics that impact both individuals and communities. Typical hospital rankings consider only care for individual patients, not how hospitals serve their communities. Backus does best among 26 Connecticut hospitals at 84th of 3,282 US hospitals; Greenwich ranks lowest in the state and 2,635th in the nation. There…

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