Legislative Dems' newest budget rejects most of Governor's newest cuts
In the latest budget proposal, Democrats in legislative leadership have
rejected many of the
Governor's most recent cuts. The newest legislative proposal rejects the
Governor's plan to cut another 8,700 working parents off HUSKY. Because of cuts
passed last year,
17, 688 working parents will lose coverage as of July 31st. The latest
legislative proposal also reverses 85% of proposed hospital cuts, restores
mental health cuts, and rejected proposals to expand the administration's
authority to cut the budget without legislative approval. The legislative
proposal does cut payments to Medicaid ASOs, nursing home rates, home care
payments, and children's dental care. The latest proposal builds off the version
that passed the
Appropriations Committee. That version differed significantly from the
Governor's initial proposal in February. Differing versions are driven both
by differing priorities and by declining revenue projections in the last few
months. Negotiations will continue; the legislative session is scheduled to end
Connecticut's Medicaid redesign update - Pros and Cons
Connecticut's Medicaid program has earned national recognition for combining
improved access to high quality care with an impressive record of cost control.
Shifting the program from a financial risk payment model to care coordination
through person-centered medical homes (PCMHs) four years ago is widely credited
with that success. Last year the administration began developing a new,
ambitious reform plan, Medicaid Quality Improvement and Shared Savings Program
(MQISSP) committed to build on and support the success of the PCMH program.
Under MQISSP, the state intends to contract with networks of providers that will
coordinate person-centered care among a continuum of providers and community
resources. Networks will share in the resulting savings in the total cost of
care for their attributed members if they meet quality standards. Decisions
about how to structure the program are largely complete and drafting has begun
on the MQISSP application for networks.
Among fourteen major issues decided
to date, most are very positive (pros) and will support the goals of improved
quality and satisfaction. But three are problematic. For more information,
read the CT Health Policy Project brief.
Webinar: The Potential of Palliative Care for People with Serious Illness
Palliative care offers great potential to improve and extend the lives of
people with serious illness, allowing them to get care at home if they wish,
while controlling costs. In addition to her considerable expertise and
knowledge, Dr. Diane Meier is an enthusiastic advocate for palliative care. She
directs the Center to Advance Palliative Care in addition to her position on the
faculty at the Icahn School of Medicine at Mount Sinai in New York City. Among
many awards, she won a 2008 MacArthur Fellowship. Join the
Complex Care Committee webinar May 9th at 10:30 am (note this is an updated
time) to hear from Dr. Meier about the potential of palliative care and how it
could benefit seriously ill Connecticut Medicaid members.
Forum on skyrocketing drugs costs and what can be done
May 17th the CT State Medical Society and the Office of State Comptroller are
CT Pharmaceutical Forum: Access, Affordability and Better Health. The forum
will explore value and outcome-based purchasing programs to improve access to
affordable prescription drugs. The forum will be in Room E2 of the Legislative
Office Building from 9 am to noon.
Click here to register.
Highlights from the CT Health Notes Blog
Connecticut most costly for nursing home care, above US average for all LTSS
Private employer costs higher in New England, but health costs are less of the
CT Health Notes is an informational newsletter of the Connecticut
Health Policy Project. Feel free to share CT Health Notes freely. If
you know someone who would like to subscribe, please refer them to
online subscription form.