Search results for: cost cap
BOOK CLUB — The Right Price: A Value-Based Prescription for Drug Costs
For your summer reading. The Right Price: A Value-Based Prescription for Drug Costs offers the best explanation I’ve found of how drug costs are set, and how they should be. Using real-life patient stories, the authors give a balanced and comprehensive look at fair and reasonable pricing for a product that epitomizes market failure. The…
Read MoreGovernor’s budget includes drug cost control and exchange subsidies, but misses other health priorities
Released today, the Governor’s budget proposal for the next two fiscal years acknowledges the importance of addressing critical health priorities, especially during a pandemic. The document highlights the state’s public health challenges of funding and implementing COVID testing, treatment, and vaccination all while facing a severe economic slowdown, high unemployment, and increased demand for social…
Read MoreTo 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…
Read MoreYNHH and New Haven clinics open primary care center, despite transportation barriers and higher costs for patients and the state
On Monday, Yale New-Haven Health System with the Fairhaven and Cornell Scott Hill health centers announced the opening of their merged primary care clinic on Long Wharf. YNHH is closing their three neighborhood primary care clinics and moving healthcare for over 25,000 low income patients to the remote site. Community members find the transportation plans…
Read MoreCT Mirror: The state should lower healthcare costs without risking our health
Opinion from Kathy Flaherty: As Executive Director of the CT Legal Rights Project, an advocate for people with disabilities, and someone who identifies as disabled, I take issue with “Flaws in CT’s healthcare system must be identified to be corrected” describing the Office of Health Strategy’s (OHS) plan to limit healthcare cost increases. . .…
Read MoreNational survey of healthcare executives finds population-based/capitated payment models are rare and aren’t growing
The latest survey of 500 US healthcare executives by the Numeroff & Associates finds that only 10% of revenue is at financial risk and that rate has not changed in the last three years. In previous surveys executives predicted that they would have a much larger share of revenue at financial risk by now. Just…
Read MoreThirty medically complex children stuck in CT hospitals waiting for home health care cost state over $100 million
Last week, MAPOC’s Complex Care Committee heard from the three remaining home health agencies that provide care for Connecticut’s most medically complex children. We heard about the massive challenges facing both families and agencies. Most parents caring for medically complex children are single mothers due to high divorce rates, who cannot work because of inconsistent…
Read MoreSIM primary care capitation proposal gets another tepid reception
This week, SIM presented to the Healthcare Cabinet their proposal to capitate primary care, initially for Medicare members, but eventually for all state residents. The proposal is to move primary care to capitated “bundles” – one for basic primary care services and a voluntary, supplemental payment for expanded activities such as infrastructure and HIT and…
Read MorePCMH Plus Year 1 Performance and Savings Results: Increased state costs but little evidence of impact on quality
Read the full report This month, Connecticut Medicaid announced the first year performance of PCMH Plus[1], their controversial new shared savings program[2] compared to the prior year. Under shared savings, if health systems (ACOs) are able to lower the cost of their members’ care, they receive a bonus equal to half those savings. PCMH Plus…
Read MoreThirty-one independent consumer advocates share concerns with SIM’s latest push for capitation
Despite the historic failures of capitation in Connecticut and beyond, our state’s SIM health planning office is continuing the drumbeat to re-impose the risky system across our state, this time for primary care. In Primary Care Payment Reform: Unlocking the Potential of Primary Care, the SIM office is proposing set payments for primary care providers…
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