This month’s Cabinet meeting included updates on
SIM, the insurance exchange and CT’s APCD. SIM leaders reported that with
the delay offered by HHS the new deadline for the state health plan model is
the end of this year. They expect to have a first draft for public release
sometime in October. The testing grant application, for the $50 million, is
expected to go out next year. They are working on revising the governance
structure – no details on that – and will continue to visit with consumers and
community groups for input. Cabinet members urged them in those visits to explain
and seek input from consumers and advocates on the entire plan, including the
proposed payment model that has raised
concerns. They are also considering creating new standards for
patient-centered medical homes, with possibly lower standards than NCQA
certification, also raising concerns about quality. Most of the new changes and
negotiations are happening in private meetings. The insurance exchange is
finalizing preparations for Oct. 1st when people can begin to sign
up for coverage. Tamim Ahmed, the new Director of CT’s
All Payer Claims Database, Access Health Analytics, laid out his short and
long term goals. Members raised concerns about privacy and security, not
selling data or analytics for commercial purposes, creating transparent
processes for data access, and not prioritizing insurance exchange data needs
over others such as population health and health equity. Draft APCD policies
and procedures are open
for public comment until Thursday.