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Connecticut Health Policy Project
  Improving Connecticut's Health Through Information

CT Health Reform Dashboard

April 2017

2017 Health Thought Leader Survey - CT gets C+ for health reform, Mistrust is serious and pervasive

Current Status

up Deep risk and uncertainty averted for now about Medicaid and the ACA from Washington
Up Senate leadership bills proposed to address out of control drug costs
down Mistrust growing in CT health policymaking, threatens all progress
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 on downside risk, weak evaluation of risky new payment model and useless consumer notices
Up Medicaid savings, quality improvement strengthen
Up SIM ethics concerns continue

Action Items

  • Begin building trust in CT's health care system
  • 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 finished in time to be meaningful
  • 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 ?

Payment & Delivery Reform Down

  • Troubling SIM plan to return to failed model - move primary care into financial risk
  • YNHH and L&M merger monitor agrees to more inclusive process
  • Build on what works in Connecticut
  • Taskforce makes recommendations 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