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Wednesday, September 23, 2015
Advocates’ Medicaid Study Group offers recommendations for Medicaid shared savings reform
Over a dozen Connecticut independent consumer
advocates representing diverse populations and issue areas spent the last
several months diving deep into Medicaid shared savings and today released recommendations
for our state’s program. The Medicaid Study Group formed early in 2015 in
response to a request from the Co-Chairs of the Medicaid Council’s Care
Management Committee to the committee consult with colleagues to give guidance
to the Department of Social Services in redesigning our state’s Medicaid
program to incorporate a shared savings payment model. The Group researched the
available literature, other state Medicaid programs, and the experience of
other shared savings programs, among other sources. The Group’s 76
recommendations are designed to protect consumers and taxpayers from unintended
harm, avoid higher spending as in other shared savings programs, improve the quality
of care, and ensure integrity and accountability. The recommendations cover
administration & governance, payment & financing, network requirements,
and quality. Final details for the RFP are due October 5th;
advocates are concerned about the rushed timeline and the risk of imprudent
For over a decade, the CT Health Policy Project has provided Connecticut consumers and policymakers with the clear, balanced information they need to make the best health care decisions.
Ellen Andrews, PhD, has been Executive Director of the CT Health Policy Project since its inception in 1999. Her experience includes positions in consumer advocacy, policy analysis, direct health care services, legislative staff, and academic research.
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