CT’s Medicaid success: Access and quality are up, costs are down

Since 2012, when CT’s Medicaid program shifted from a capitated payment model to a self-insured model based on care coordination, the program has enjoyed significant improvements in quality, access and cost control, as predicted. A new analysis finds that the number of providers participating the in the program is up 32%, person-centered medical homes are up 35%, hospital admissions are down 3.2%, non-urgent ED visits are down 3.2%, and total per member costs are down 1.9%. Impressive results – saving money for the state and improving care to people. Congratulations to DSS and CHN for their hard work to implement the shift and for working with consumers and advocates to make the vision successful.