Connecticut

In 2009, Connecticut Public Act No. 09-148 authorizing the creation of the SustiNet health plan option also established a medical home advisory committee to recommend internal procedures and proposed regulations governing the administration of patient-centered medical homes that provide health care services to SustiNet Plan members. In addition, the state of Connecticut encourages issuers offering Qualified Health Plans (QHPs) on the state marketplace to submit non-standardized plans including those that utilize different care management models (e.g., PCMHs, community health teams). 

Under the Connecticut Department of Social Services’ PCMH program, practices that demonstrate a higher standard of person-centered primary care service delivery qualify for a higher level of reimbursement for primary care services. Qualified PCMH practices are also eligible for additional financial incentives and HUSKY Health recipients are included in the PCMH program. The State Innovation plan builds upon this program by furthering the development of payment and delivery system models that will advance greater alignment across multiple payers on contracting and payment strategies that promote value over volume, greater consistency in quality and other performance metrics, and expanded primary care.

 

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
Yes
CPCi: 
No
SIM Awards: 
Yes
PCMH in QHP: 
Yes
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
3,545,500
Uninsured Population:
9%
Total Medicaid Spending FY 2013: 
$6.7 Billion 
Overweight/Obese Adults:
62.5%
Poor Mental Health among Adults: 
34.8%
Medicaid Expansion: 
Yes 

Connecticut Executive Order No. 5

Monitoring healthcare spending growth, setting initial annual benchmarks for primary care investments. Progressively increase primary care spending goals to reach a target of 10% by 2025

House Bill No. 5506

Establishes an Office of Health Care Strategy Office to develop an annual health care cost growth benchmark and primary care spending target. Develops and adopts health care quality benchmarks. Develops strategies, in consultation with stakeholders, to meet such benchmarks and targets developed. Enhances the transparency of provider entities. Monitors the development of accountable care organizations and  patient-centered medical homes in the state. Monitors the adoption of alternative payment methodologies in the state.

Safest States During COVID-19

WalletHub study

As the U.S. continues its efforts to overcome the COVID-19 pandemic amid a surge in cases caused by variant strains, staying safe is one of Americans’ top concerns. Safety is also essential for getting the economy back on track, as the lower COVID-19 transmission and deaths are in a state, the fewer restrictions there will be and the more confidence people will have to shop in person. While almost all states have fully reopened, we’ll only be able to completely get back to life as normal once most of the population is fully vaccinated against coronavirus. The good news is that the U.S.

News Author: 
Adam McCann

Five States Join the Peterson-Milbank Program for Sustainable Health Care Costs

Connecticut, Oregon, Nevada, New Jersey, and Washington to implement spending targets to make health care more transparent and affordable

The Milbank Memorial Fund announced March 9, 2021, that Connecticut, Oregon, Nevada, New Jersey, and Washington have been selected to participate in the Peterson-Milbank Program for Sustainable Health Care Costs. With Peterson Center on Healthcare support, the Milbank Memorial Fund and Bailit Health will provide technical assistance to these five states as they set and implement healthcare cost growth targets. These targets are a first step toward making health care more affordable and transparent.

New England States Issue Regional PC Spend Report

A consortium of New England States, known as NESCSO, recently released a first-of-its-kind regional report on levels of primary care investment across six states.

Why Connecticut Is Winning the Vaccination Rollout

Here’s what it’s doing right, so far

The vaccine rollout in the United States is progressing — albeit not as quickly as anyone would like. But there isn’t a single “vaccine rollout” — instead responsibility for distributing the vaccines has been delegated to states, and some states are getting shots into arms faster than others. Connecticut is one of those states.

News Author: 
Alexandra Sifferlin

Primary Care Investments Are Top of Mind for Many New England States

Representatives from state agencies in Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont met earlier this month to hear and discuss reports from multi-state workgroups related to Certificate of Need reform and hospital regulatory issues,  improving the value of community benefits reports, data-sharing opportunites, and primary care investments.

News Author: 
Primary Care Spend

Call to action: New AAP research initiative aims to protect children from firearm injuries

The Academy is launching a bold new research initiative to protect children from firearm injuries.

Approaching these injuries as a public health epidemic, the Gun Safety and Injury Prevention Research Initiative will bring together experts from around the country to study and implement evidence-based interventions.

The initiative is a call to action spurred by members who have been vocal about needing to do more to protect children.

A Health Plan ‘Down Payment’ Is One Way States Try Retooling Individual Mandate

As President Donald Trump and congressional Republicans tirelessly try to dismantle the Affordable Care Act, a number of states are scrambling to enact laws that safeguard its central provisions.

The GOP tax plan approved by Congress in the last days of 2017 repealed the ACA penalty for people who fail to carry health insurance, a provision called the “individual mandate.” On Jan. 30, in Trump’s first State of the Union address, he claimed victory in killing off this part of the health law, saying Obamacare was effectively dead without it.

News Author: 
Rachel Bluth

Jill Rubin Hummel drives change in evolving healthcare industry

2016 Women in Business Winners

President and General Manager, Anthem Blue Cross and Blue Shield

In 2010, as vice president of payment innovation at Anthem Inc., Jill Rubin Hummel spearheaded a company-wide effort to more from a fee-for-service payment model, in which healthcare providers are reimbursed for each office visit, to one in which they are reimbursed for helping patients to manage their health on a continuing basis.

News Author: 
David Medina

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