Tag Archives: CT
Market Overview PDF
Download NowConnecticut_092023.pdf
CT SNP Membership at 47,895, Mar-20 Data
Connecticut had 47,895 Special Needs Plan members as of March 2020.
CT Medicaid Fee for Service vs. Managed Care Penetration, 2014-19
Total Medicaid enrollment in Connecticut was 850,657 in 2019. Total Medicaid expenditures in Connecticut were $8.2 billion in 2019. Connecticut does not have a fully capitated managed care program.
CT Governor Issues Order On Billing Uninsured for COVID-19 Treatment
Modern Healthcare reported on April 7, 2020, that Connecticut Governor Ned Lamont issued an executive order limiting hospitals to the Medicare price of care when billing uninsured patients for COVID-19 treatment. The order also exempts providers from lawsuits if they are acting in good faith to provide COVID-19 care but face shortages or capacity issues. Read More
Section 1135 Waivers Are Now Approved in 34 States
On March 27, 2020, the Centers for Medicare & Medicaid Services (CMS) announced that it has approved section 1135 waivers for several additional states in response to COVID-19, bringing the total number of approved states to 34. The most recent additions include Colorado, Connecticut, Delaware, Hawaii, Idaho, Maryland, Massachusetts, Minnesota, New York, Pennsylvania, and Wyoming. The waivers give the states significant flexibility in how Medicaid services and funds are used to respond to COVID-19. Read More
CT Offers Lessons on Attempt to Enact Public Option
Kaiser Health News reported on March 4, 2020, that the defeat of legislation to implement a public health insurance option in Connecticut last year offers lessons for lawmakers and advocates attempting to enact a similar measure at the federal level. The Connecticut bill faced significant health insurance industry opposition, and national proposals also have similar resistance from insurers, health systems, and hospitals. Read More
CT SNP Membership at 40,481, Nov-19 Data
Connecticut had 40,481 Special Needs Plan members as of November 2019.
CT to Raise Medicaid, Supplemental Payments as Part of Broader Agreement on Hospital Provider Tax
Modern Healthcare reported on December 10, 2019, that Connecticut will raise Medicaid and supplemental payments to hospitals as part of a broader agreement aimed at resolving a longstanding dispute over funds generated by the state’s hospital provider tax. The seven-year agreement, proposed for fiscal years 2020 through 2026 by Connecticut Governor Ned Lamont, Attorney General William Tong, and the Connecticut Hospital Association, would reduce the provider tax on hospitals, settle potential hospital claims against the state, and reduce projected hospital losses. The state Legislature will vote on the agreement next week. Read More
CT Releases RFP for Person-Centered Medical Home Plus Program
On September 6, 2019, the Connecticut Department of Social Services (DSS) released a request for proposals (RFP) from qualified Federally Qualified Health Centers (FQHC), FQHC Look-Alikes, and Advanced Network Lead Entities for the state’s Person-Centered Medical Home Plus Program (PCMH+) in Wave 3 (W3). PCMH+ is a care delivery reform initiative for primary care practices. All prospective PCMH+ W3 applicants are required to submit a proposal whether they have participated in Wave 1 or Wave 2. PCMH+ W3 is scheduled to run from January 1, 2020 through December 31, 2021.
CT Person-Centered Medical Home (PCMH) Plus Program Wave 3 RFP, Sep-19
Connecticut Department of Social Services Person-Centered Medical Home Plus Program Wave 3 Request for Proposals (PCMH+W3 RFP), Issued September 6, 2019.
