Help Push New Health Care Choices This Session!

by Protect Our Care Connecticut

From Universal Health Care Foundation of Connecticut:

The race is on to offer Connecticut small businesses and individuals new quality health insurance coverage they can afford. Will you help us get over the finish line?

Act Now! Call Governor Lamont at 800-406-1527 and let him know that you need him to support small businesses and individuals seeking better health insurance choices. Ask him to support House Bill 7267/SB 134. Make the call now!

BACKGROUND: Groundbreaking legislation to open up new health insurance choices, built upon the health coverage state employees and legislators receive, could pass in the next six weeks. Small businesses are the major source of job growth in our state, employing over 700,000 people. They struggle to afford health coverage for their workers, facing double-digit increases year after year. They deserve better options for their employees, not health plans that only pay for care after people spend thousands of dollars on co-pays and deductibles.

Individuals who buy insurance on their own have fewer and worse insurance choices. The high deductibles they face are a barrier to using their coverage to address worrying symptoms or to help them stay healthy. A new insurance choice built upon the state plan, sometimes called a “public option,” would mean small businesses and individuals could benefit from the negotiating power of the largest health plan in the state.

Save the Date – Wed. May 1 – Health Care Action Day Join us at the state Capitol to tell legislators – It’s Time to Act on Health Care!

10 a.m. – 2:30 p.m. Legislative Office Building, 300 Capitol Ave., Hartford. We will start with an issues briefing (location to be determined) and then meet with legislators. We are working in partnership with the Women’s Health Lobby Day. Issues briefing will also include updates on major women’s health issues.

Protect Our Care CT priority bills/issues:

*Protect Medicaid/HUSKY from cuts
*Establish public health insurance options for small businesses/nonprofits and individuals buying on the private market (HB 7267; SB 134)
*Bring down the price of prescription drugs (HB 7174).

See Resources page of www.protectourcarect.org for information on POCCT bills.

PCMH Plus and Changes to Husky Medical Care: What You Should Know

by Coalition for People

At the June meeting of the Coalition for People, Ellen Andrews of the CT Health Policy Project gave a presentation of some very important changes to HUSKY Health. She also introduced the work of the CT Health Policy Project, whose purpose is to ensure there is affordable healthcare for everyone in the state.

Since 2012 HMOs have not been involved in Connecticut’s Medicaid program. Primary care providers work directly with patients. It saves money and people get more care.

PCMH Plus is a new program; Person-Centered Medical Home Plus or PCMH+ provides person-centered, comprehensive and coordinated care to HUSKY Health members. Advocates are concerned it jeopardizes the progress made since 2012. It will allow medical practices to get back 50% of the money they save the Medicaid program. It incentivizes less care which can be achieved by eliminating duplicate tests and improving care to keep people out of the hospital. Savings can also be generated by denial of needed services, not following through and not referring people to specialists. These practices will save the state money and 50% of the savings will get kicked back to the medical practices. Patients can be “cherry-picked” and patients needing high-cost care can be dumped from their providers’ practice.

Patients have the choice to opt-out of PCMH+ and nothing will change with their current care. In fact, if people do not opt-out of PCMH+, they will lose access to Intensive Care Management, a program to help people with complex conditions. Many people who are covered by HUSKY Health don’t know about this program and what their options are. For more information, check the website at PCMHPlusFacts.org.

The next meeting of the Coalition for People is Wednesday, Sept. 19, 2 p.m. in the community room (lower level) of the Fair Haven LIbrary, 182 Grand Ave. All are welcome to attend.