SIM update – more consumer concerns

Yesterday’s SIM steering committee was not encouraging for those hoping to see real consumer involvement. The long-awaited workgroups will only have 25% (plus or minus) consumer and advocate representatives. In addition, they expect anyone appointed to be a supporter of the final SIM plan, and to agree to “champion” the recommendations of the workgroup, even…

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SIM update – answers, sort of, and further delays in starting work

On Monday, advocates received answers to our questions about the SIM final plan – sort of. We did learn that they are not considering pure capitation as a payment model at this time and that any plans for Medicaid payment changes will go through the Medicaid Council – both good. Unfortunately answers to the other…

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Advocates meeting with SIM staff

Yesterday’s meeting with advocates called by SIM staff included some good news but more challenges focusing on process over content. Advocates were encouraged that the SIM planners are now interested in getting input from both “real” consumers, especially from under-served populations, and from professional, independent advocates who follow complex policy proposals on behalf of Connecticut…

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CT’s final SIM plan: Consumer advocates have questions

Connecticut’s executive branch policymakers have finished theState Innovation Model (SIM) plan to fundamentally transform our state’s fragmented health care system – both how care is delivered by doctors, hospitals and other providers, and how it is paid for. SIM is meant tocover at least three million state residents – Medicare, Medicaid, employer benefits and private…

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Annapolis CSG/ERC state visit – lots of opinions on the insurance exchange’s problems, Medicare hospital waiver, and SIM

It’s been a fascinating CSG/ERC state capitol visit in Annapolis over the last two days. In meetings with policymakers I’ve heard a range of opinions and emotions on MD’s insurance exchange – from optimism that eventually it will start working to calls to scrap it and revert to the federal exchange. By all accounts, the…

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SIM update

SIM leaders released their financial analysis, response to public comments, and revised vision statement at the last meeting. We will be providing a longer analysis when the final plan is available, but a few points bear highlighting. Despite strong public comments voicing concern about under-treatment incentives in shared savings, SIM leaders recommended not to include…

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SIM public comments: diverse and mostly critical

Last month Connecticut’s State Innovation Model (SIM) planning group, working for most of the year, solicited public comment for the first time. SIM is the administration’s plan, based on federal grant provisions, to radically transform Connecticut’s health system – payment and care delivery. The federal grant requires the plan to cover at least 80% of…

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SIM plan comments focus on protecting consumers

CT’s SIM draft plan to reform health care for at least 80% of state residents in five years is out for public comment. SIM is the state’s newest plan to radically reform health care delivery and payment across the entire state. Concerns raised in the CT Health Policy Project’s comments include potential incentives in the…

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Advocates’ letter expands on SIM concerns about payment model risks

A new letter signed by 21 CT consumer advocates to the SIM committee provides more clarity on previous concerns and raises others that have surfaced in the SIM draft plan. SIM is the state’s newest plan to radically reform health care delivery and payment across the entire state. Previous concerns, raised in our August letter…

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SIM slides outline project and consumer risks

Slidescreated for a presentation to consumer advocates provides background on the state SIM project, its goals, the administration’s proposal, and risksto consumers and taxpayers are online. SIM is the administration’s plan to radically transform health care – how it is delivered and how it is paid for – for at least 80% of state residents…

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