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  Improving Connecticut's Health Through Information

CT Health Notes

Issue Date 10/3/2016

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. Read more

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. Read more

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. Read more

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. Read more

CT Health Reform Dashboard - Troubling Cabinet reform proposal would move Connecticut backward

October's CT 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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