Medicaid Council update – PCMH + and national Medicaid proposals

Friday’s MAPOC meeting started with an update about the shared savings experiment that covers 137,037 members and started January 1^st. Contracts have been finalized with nine ACOs.

	enrollment	% of total
NEMG/Yale	7,509	5.5%
St. Vincent's	18,086	13.2%
Fairhaven HC	7,811	5.7%
Cornell Scott-Hill HC	13,781	10.1%
Generations Family HC	8,000	5.8%
Southwest CHC	8,299	6.1%
Community Health Center, Inc.	44,917	32.8%
Optimus HC	21,304	15.5%
Charter Oak HC	7,330	5.3%
Total	137,037	100.0%

Concerns were raised and dismissed by DSS about the timing of the planned next wave of 200,000 members into the experimental program without the benefit of a robust evaluation of the impact on first 137,037 and on the state budget.

The Council also discussed troubling national proposals to limit Medicaid funding, add administrative complexity (because it’s not bad enough now), and the impact on CT.