Search results for: cost cap
Medicaid performance dashboard unveiled; marked improvement with switch from HUSKY HMOs
At Friday’s Medicaid Council meeting, DSS described their new ASO accountability dashboard with performance measures for the program. From January 2012, when the HMOs left the program, to this June the number of providers participating in CT’s program has grown 32%, hospital admissions are down 3.2%, the average length of stay is down 5%,…
Read MoreCT Health Policy Roundtable: CT’s APCD
Join national and state experts for a Roundtable to learn more about the potential for Connecticut’s new All-Payer Claims Database in health care planning, improving health care quality, capacity and promoting health equity. The Roundtable is sponsored by the CT Health Policy Project, the CT Center for Patient Safety and Access Health Analytics and made…
Read MoreSIM update
The September meeting of the SIM steering committee changed little to the plan except the name of the payment model. The planners reported to the committee what will happen in the next phase of the process. They changed the name of their provider risk-based payment model from Total Cost of Care to Shared Savings,…
Read MoreCT Mirror reports on SIM proposal – administration agenda and advocate concerns
An article yesterday in the CT Mirror describes the administration’s plans to apply for millions in federal dollars to radically redesign CT’s health care system – not just Medicaid and the state employee plan, but for all state residents. The article points out that the administration is working with providers and insurers to design…
Read MoreSIM update
The SIM steering committee reviewed final recommendations from their work groups yesterday. The SIM project is developing payment and care delivery models for at least 80% of state residents – 3 million people or more and $30 billion in CT health spending. The recommendations are very detailed and specific, but they maintain that there…
Read MoreAccess Health CT rates up sharply, CID review and competition helped
Today’s CT Health Insurance Exchange/Access Health CT board meeting included a report from Wakely actuaries hired by the exchange to review rate proposals from health plans applying to offer coverage in the exchange. According to Wakely, plans have filed numerous revisions lowering their rate proposals, largely in response to each other and questions from the…
Read MoreCabinet meeting centers on SIM project
An update on the SIM project was the main agenda item at yesterday’s Health Care Cabinet meeting. At last month’s meeting, members were asked to collect feedback on SIM proposals for payment and delivery reform to cover 80% of CT residents. The SIM committee is planning to set payment and delivery models for the…
Read MoreCabinet meeting update: SIM project described, exchange plans offering low rates to doctors, Charter Oak redux?
Yesterday’s Cabinet meeting focused on the state’s $2.8 million State Innovation Model (SIM) grant. The plan is to develop a grant proposal by the fall to create a multi-payer approach to design care delivery and payment reforms that touch 80% of CT residents. The project will test innovative models to lower costs and maintain or…
Read MoreHealth Insurance Rate Shock: What Connecticut Can Do
All indications are that Connecticut health insurance costs will rise significantly next year. Fortunately there are several tools available to policymakers to mitigate that trend for Connecticut consumers and small businesses who will be mandated to secure coverage as of January 1st. A new brief outlines state affordability options including a stronger state MLR limit, active…
Read MoreGovernor proposes to cut 40,000 working parents from HUSKY
The Governor’s budget proposal released today would move an estimated 20,000 working parents with incomes from 133% to 185% of the federal poverty level (currently $25,975 to $36,130/year for a family of three) from HUSKY to the CT Health Insurance Exchange. Right now those working parents pay no premiums or copays for comprehensive coverage. In…
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