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PCMH+ update – DSS still plowing ahead despite lack of monitoring or evaluation
Despite DSS’s declaration that Wave 1 of PCMH Plus is a “substantial success”, there was nothing meaningful to support that view at MAPOC’s Care Management Committee meeting last week. Lacking information, DSS has rushed ahead anyway to significantly expand the program by 174%, raising enrollment from 66,325 to 181,902 this month. PCMH Plus is DSS’s…
Read MoreCTNJ op-ed: Connecticut should be careful building a public insurance option through Medicaid
Health insurance is too expensive in Connecticut and it may get worse with troubling new federal policies. But one proposed state solution isn’t as simple as it sounds. Read more
Read MoreNew Hartford HealthCare-Tufts insurance company raises concerns
Wednesday, Hartford HealthCare and Tufts Health Plan announced the formation of a new, jointly-owned insurer, CarePartners of Connecticut, to sell Medicare Advantage plans to Connecticut residents for next year, pending CMS approval. Hartford HealthCare includes thousands of providers in home health care, rehab services, long term care, behavioral healthcare, and five hospitals, to date. In…
Read MoreAdvocates launch PCMHPlusFacts.org, giving HUSKY members balanced information on the controversial new program
Today, independent consumer advocates launched a website, PCMHPlusFacts.org, to explain the facts about HUSKY’s experimental, new payment plan to run the program. The site was developed in response to the state’s erosion of federally required notices to consumers about their right to opt-out of the program. The state changed the notices at the last minute…
Read MoreMedicaid update: New data on high-cost, high-need members
Friday’s Medicaid Council meeting focused on CT’s participation in a national technical assistance program to identify and meet the needs of high-cost, high-need patients. This population has received a great deal of attention from policymakers as the best opportunity to both improve access and quality of care as well as control costs. The concept offers…
Read MoreMedicaid update: New data on high-cost, high-need members
Friday’s Medicaid Council meeting focused on CT’s participation in a national technical assistance program to identify and meet the needs of high-cost, high-need patients. This population has received a great deal of attention from policymakers as the best opportunity to both improve access and quality of care as well as control costs. The concept offers…
Read MoreMedicaid Study Group recommendations to preserve, build on Medicaid success
Actions to protect Medicaid success long-term Connecticut Medicaid Study Group Since moving away from capitated managed care plans in 2012, Connecticut’s Medicaid program has enjoyed enormous success. Per capita spending is actually down, saving hundreds of millions of tax dollars every year, and making Connecticut the best performing state in the US at controlling costs.…
Read MoreEffective Communications
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Read MoreConnecticut’s Budget Process
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Read MoreLeslie
In Their Own Words Leslie, New Milford It is very difficult to get Leslie to talk about her own health and losing HUSKY for herself and her husband. The conversation keeps coming back to her son, David. Leslie had David later in life and he is clearly her joy, the center of her life. David…
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