CTNJ 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 CT News Junkie. The article gives a very understandable description
of the Health Care Cabinet's Strawman proposal to shift everyone in Connecticut
into downside risk financial arrangements. "Under the model Bailit [consultants
to the Cabinet] wants to explore, also known as downside risk, doctors will lose
money if they don't save enough money on their patients." Advocates are
concerned providers will leave Medicaid if downside risk is implemented, as
happened under the similar capitated model in the 1990's. Matt Katz, CEO
of the Connecticut State Medical Society isn't a fan, stating that downside risk
is a "perverse incentive." Many concerns have been shared with the Cabinet,
including ours. The Cabinet will meet next Tuesday, October 11, 2016, at 9
am at the LOB.
Recognize the people that keep Connecticut healthy - Nominate a Health Care Hero
The Hartford Business Journal is again seeking nominations for outstanding
health care leaders who epitomize a "hero" when it comes to helping others in
central Connecticut. They can be companies, teams, doctors, nurses, specialists
or managers. The deadline for nominations is this Thursday, October 6, 2016. In
addition to an awards event on December 1, 2016, finalists and winners will be
recognized in a special issue of the Hartford Business Journal.
Kaiser Medicaid and state marketplace implementation brief highlights Connecticut
Three years into ACA expansions, the Kaiser Foundation has highlighted how
four states, including Connecticut, are streamlining eligibility and enrollment.
Researchers used focus groups and case studies to find that eligibility and
enrollment systems worked well through the expansion and while Medicaid
enrollment grew quickly in the beginning, it has now stabilized. While
marketplace enrollment grew in each state, affordability has been the greatest
challenge to further growth.
Connecticut ranks 4th in nation for health of women and children
The newest report by America's Health Rankings finds that women and children
in Connecticut are healthier than women and children in all but three other
states. While we rank best in outcomes for children, we are 48th in clinical
care for infants. Our strengths include cervical cancer screening, the lowest
rate of smoking during pregnancy in the US, and low prevalence of adverse
childhood experiences. However, we have very high rates of excessive drinking
during pregnancy and for women overall. We have too many low-risk cesarean
deliveries and too few early childhood developmental screenings. The report's
detailed summary for Connecticut has important specific information on our
achievements and where we need to do more.
CT Health Reform Dashboard - Troubling Cabinet reform proposal would move
Health Reform Dashboard update reflects the controversy surrounding the
Health Care Cabinet's controversial proposal for state health reform. The
current proposal would move Connecticut back into failed payment models and
would break the administration's promise to Medicaid members. Other concerns
include a vague but massive hospital consolidation deal that leaves a lot of
accountability decisions up in the air, and a troubling shift in HIT leadership
in the state.
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