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Connecticut Health Policy Project
  Improving Connecticut's Health Through Information

CT Health Reform Dashboard

January 2017

2016 Health Thoughtleader survey - CT gets C+ for reform

Current Status

down Hospital consolidation raises concerns of weak regulatory oversight risking affordability, services
down Broken Medicaid promises on downside risk and consumer notices - rebuilding trust from broken Medicaid promises
down Controversial Cabinet reform proposal misses what is working in Connecticut and dangerous, failed payment model
 ? Prioritize meaningful evaluation to protect consumers and taxpayers in Medicaid redesign
Up Medicaid savings, quality improvement strengthen
Up SIM ethics concerns growing

Action Items

  • Protect consumers and taxpayers from payment models with incentives to deny appropriate care
  • Tell Medicaid consumers the truth about new payment models
  • Avoid past mistakes and protect success with robust evaluation in Medicaid reform
  • Ensure reforms make sense for Connecticut - follow best evidence, not failed theories
  • Strengthen regulatory oversight of hospital mergers and acquisitions – choose independent, credible monitors and consultants
  • Strong conflict of interest provisions in all reforms


Medicaid ?

  • SIM conflicts of interest, political interference undermine Medicaid reform and trust
  • Keep administration's commitment not to implement experimental, troubling downside risk arrangement
  • Troubling efforts by ACOs allowed to weaken consumer notices about financial risks 
  • Effective reform needs strong evaluation to succeed and limit unintended harm
  • PCHM+ reform decisions set - pros and cons
  • Per person costs under control
  • Quality, access up
  • Made costly, questionable CCIP plan optional, use evidence to redesign
  • Must protect successful PCMHs in new reforms
  • Promising homelessness partnership

Payment & Delivery Reform Down

  • Poor choice by DPH of oversight monitor and consultants for YNHH-L&M acquisition risks steep price increases, service loss, and reduced consumer choice
  • Build on what works in Connecticut
  • Cabinet considering unworkable reform proposal that failed in the past
  • Taskforce meeting to update CON process
  • SIM process plagued with ethics concerns, little transparency, insular leadership, lack of vision
  • Take state action to control drug costs


Quality Down

  • Quality information confusing, not easy to access
  • Comparative effectiveness research not well used in policymaking or consumer information
  • Serious, ongoing quality problems across CT hospitals
  • SIM Rush to "align" quality metrics, especially for payment, across diverse populations leaves many out, not protective

Health Insurance Down

  • Lower skyrocketing health insurer rate hikes
  • Must regulate ACOs as they take on financial risk
  • Insurer-dominated board, members with conflicted interests and investments
  • Privacy and security concerns throughout insurance sector
  • Exchange must work to lower costs and make coverage affordable

Health Information Technology ?

  • Must protect privacy and security of sensitive patient medical information
  • Troubling HIT Council leadership shift; must avoid past errors, conflicts of interest
  • All-payer claims database development slow, rejected consumer privacy protections

Workforce Down

  • Private nursing capacity initiatives filling state policy vacuum
  • Need more clinical training slots
  • Build primary care capacity
  • New and renewed skill training for current professionals

CT Health Reform Dashboard Archive