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Connecticut Health Policy Project
  Improving Connecticut's Health Through Information

CT Health Notes

Issue Date 8/1/2016

Twenty-six advocates support DSS decision to evaluate Medicaid reform

Last week 26 independent consumer advocates wrote the Lieutenant Governor supporting DSS's decision to evaluate outcomes after the first wave of 200,000+ members into the new Medicaid shared savings program, MQISSP. The advocates support DSS's prudent plan to assess the impact, good and bad, and make revisions before moving more people into the untested program. Enlightened policymakers incorporate robust evaluations in all programs, and use them in revising programs to limit harm and build value. More mature shared savings programs in other states and programs have struggled, many have not saved money, and quality improvement is weak. Given the state has recognized the higher danger for inappropriate underservice for Medicaid members in financial risk models, DSS's plan to evaluate and adjust based on the evidence is especially wise.

OHCA hears more from community about harm from YNHH-L&M deal

Last Tuesday OHCA got another earful from community members, providers and experts as they continued the public hearing on Yale-New Haven's application to acquire L&M hospital and medical group. Interveners, including the Connecticut Health Policy Project, continued our testimony about likely price increases and loss of services in the New London community if the deal is approved. Interveners and OHCA asked again for price data from previous YNHH acquisitions as well as the ongoing Community Health Needs Assessment, required by the Affordable Care Act, and what identified needs the hospital has acted on. Interveners also told powerful stories of lost services in Windham when Hartford Hospital bought their community hospital and that L&M clinical services are already well integrated with YNHH independent of the corporate acquisition. YNHH cited, among other reasons, Medicaid cuts as a reason to merge, but were reminded of Connecticut's relatively generous provider rates and that Connecticut has maintained provider rate increases even after federal funding ended, despite severe budget deficits that will result in thousands of working parents losing HUSKY this weekend.

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