Search results for: SIM
Health Care Cabinet continues to debate reform plan; Medicaid commitment on downside risk reversed
Yesterday’s Health Care Cabinet meeting started with a statement by the Lieutenant Governor stating that the commitment made last year not to implement downside risk in Medicaid was time-limited to end with the state’s SIM grant in 2019. However that was never conveyed to advocates and, in fact, the state made a clear commitment, without…
Read MoreCTNJ highlights concerns with Cabinet reform proposal
“It’s not everyday that healthcare advocates and the Department of Social Services agree, but that’s what’s happening in a debate on how to save money and make sure residents, especially those on Medicaid, get the care they need”, according to today’s CT News Junkie. The article gives a very understandable description of the Health Care…
Read MoreGAO reports find individual insurance markets concentrated in most states in 2014, but largest in CT losing market share
Recent news about insurers leaving AccessHealthCT, CT’s health insurance exchange, have raised concerns about lowering competition and rising prices for health insurance. CT is not alone. Prior to 2014 health insurance markets in most states were highly concentrated, according to the US General Accounting Office. However, the largest individual coverage insurer in CT, Anthem/Wellpoint, has…
Read MoreCT Health Reform Dashboard – Cabinet reform proposal concerns, Medicaid evaluation affirmed
September’s CT Health Reform Dashboard update reflects the controversy surrounding the Health Care Cabinet’s ambitious and controversial proposal for state health reform. But in good news, DSS and the advocates’ call for a proper evaluation of Medicaid reform, and using it to improve and adjust the program, have been affirmed. Concerns about SIM ethics and…
Read MoreReform is hard and Econ 101 doesn’t work
An article published today in the New England Journal of Medicine highlights the challenges in health reform and why the usual, simple fixes aren’t working. The article by Richard Bohmer, The Hard Work of Health Care Transformation, explains why changing financial incentives or governance structures aren’t sufficient to effect change. The status quo is very…
Read More27 minutes average ER wait time for Connecticut
Governing magazine reports that in 2014 the average Emergency Room patient in Connecticut waited 27 minutes for care. That wait is similar to neighboring states but well below Maryland with the longest wait at 46 minutes, and well above Colorado and Utah where patients waited only 16 minutes. The article cites CMS Hospital Compare Data.…
Read MoreCT Insurers want enormous rate hikes in 2017
Insurers in CT have asked the Dept. of Insurance for permission to raise premiums significantly next year, both on the exchange, AccessHealthCT, and off. Insurers want to raise individual AccessHealthCT premiums on average by 26.8% (Anthem with 56,700 covered lives), 14.3% (ConnectiCare Benefits covering 47,597 lives) and 12.21% (HealthyCT with 16,274 covered lives). Those averages…
Read MoreNational ACO survey echoes CT survey results
A national survey by the National Association of ACOs finds leaders are concerned about recovering their investments and pressure to share in losses. ACOs bristled at the assertion that up-side only shared savings arrangements are just bonuses. One survey respondent said, “The investment risk is substantial (in our case $2.5 million per year) with no…
Read MoreHealth Care Cabinet considers Oregon and Maryland’s reforms
At this month’s Health Care Cabinet meeting, we heard about health reforms in Oregon and Maryland with a focus on how/if their successful strategies could be applied in Connecticut. Oregon consolidated state health purchasing under one new state agency, implemented an ambitious Medicaid waiver with a total annual cap on cost increases, assistance for PCMH…
Read MoreCT Health Reform Dashboard update: mixed Medicaid progress, a few good signs elsewhere
Both good and bad news for consumers in planned Medicaid reforms influenced CT Health Reform Dashboard this month. In good news, DSS and SIM agreed to make the well-intentioned but poorly-designed CCIP program optional for Medicaid networks applying to participate in shared savings. A Wall Street Journal article reported on the success of CT’s Medicaid…
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