CT Health Reform Dashboard

May 2012

Progress toward reform

 
   
12.1% CT Reform Grade: C

Current Action items

  • Fix insurance exchange leadership
  • Medicaid infrastructure
  • Build state government capacity for planning and implementation
  • Recruit Medicaid providers
  • Engage consumer voices across all planning areas
  • Public education on keeping well and using the health system

MedicaidLooks good

  • HMO to ASO transition successful, uneventful
  • Payment reform for dual eligible in development
  • Improving data and analysis
  • Integrated enrollment and eligibility in planning
  • Building agency workforce for planning

Patient centered medical homesLooks good

  • State employee plan expanding
  • 632 NCQA recognized in CT and growing
  • Medicaid program small but growing
  • CPCI application denied, must keep collaboration momentum

Health Insurance ExchangeNeeds work

  • Insurer dominated Board
  • Extended CEO search
  • Meetings behind closed doors
  • Advisory committees forming
  • Bill moving to add voting consumer members
  • Engaged PR firm to repair image

Insurance market reformNeeds work

  • Rate review weak
  • SustiNet killed - no public option
  • Anti-competitive market
  • CSMS coop application submitted
  • SustiNet Cabinet Business Plan Committee collecting information

Health Information TechnologyNeeds work

  • eHealthCT supporting providers with EHRs
  • DSS getting Medicaid subsidies out to providers
  • Privacy and security problems grave for HITE-CT exchange
  • Bill to protect privacy rights watered down

Payment reform and quality improvementLooks good

  • ACOs forming across the state
  • Medicaid pilot for dual eligible in development
  • All-payer claims database in very early talks
  • Little assessment of overtreatment
  • Comparative effectiveness research not used or supported in public programs

Health Care WorkforceLooks good

  • WISH grant
  • Report with data, needs assessment, recommendations, and a pathway to building capacity
  • Need more clinical training slots
  • Need to build primary care capacity
  • Need new skill training for current professionals

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