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CT medicaid managed care study gets pushback from advocates

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CT medicaid managed care study gets pushback from advocates


Providers and advocates renewed their calls to reject a potential return to Medicaid managed care during multiple meetings hosted by the Department of Social Services last week. 

The stakeholder meetings were intended to collect feedback on the current state of the Medicaid program as part of the “landscape analysis” that Gov. Ned Lamont charged the department to conduct. The study is meant to explore different Medicaid models, including managed care, which 45 states use in some form for at least part of their Medicaid programs. Connecticut is one of five states that do not.

Lamont’s curiosity about managed care has drawn fierce criticism from some Medicaid providers, advocates and enrollees, who pointed to potential downsides of the model, including reduced access, increased cost and lack of transparency. A handful of participants in last week’s meetings reiterated those concerns.

“We should be very concerned about access to care in the long-term care environment, and managed care would not be an answer to any of those significant issues,” said Matthew Barrett, president of the Connecticut Association of Health Care Facilities, during one of the sessions.

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David Bednarz, a spokesperson in the governor’s office, said that the study is merely a tool to ensure the state is best serving its Medicaid members, adding that Lamont is not proposing any policy changes as of now. 

“This review will provide the administration and the General Assembly with information on whether there are improvements to achieving this goal that could be implemented, and we shouldn’t be afraid of receiving that data. At this time, Governor Lamont is not proposing any policy changes — whether administratively or legislatively — on this topic,” said Bednarz in an emailed statement. 

The study report is due by the end of this year, stated Christine Stuart, a DSS spokesperson.

Connecticut used managed care until 2010 but then transitioned to a managed fee-for-service model, where the state pays providers directly for services delivered to Medicaid beneficiaries. In a traditional “capitated managed care” model, the state instead pays a set monthly fee per member to insurance companies to manage the Medicaid program, and the insurance companies pay providers. 

States often turn to managed care for increased budget predictability and improvements to quality and access, but according to KFF Health News, its impact on both access and costs is “limited and mixed.”

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Other concerns

Some critics of the governor’s plan to study managed care say that the results of last Tuesday’s presidential election make it even more important to defend the Medicaid program.

“We have a ton of work to do to adjust to the changing landscape in Washington and protect the Medicaid program, and certainly as part of that, we have to fulfill our promise to raise rates for providers,” said Sen. Matt Lesser, D-Middletown, in an interview with The Connecticut Mirror. “Throwing additional chaos into the program at a time when the very future of the Medicaid program is potentially on the line is unwise and a major unneeded distraction for the Department of Social Services and the administration.”

During President Donald Trump’s first administration, he approved Section 1115 waivers that allowed states to impose certain work requirements for Medicaid eligibility, though many of the approvals were struck down in the courts.

Project 2025, which Democrats tied to Trump policies and future plans on the campaign trail despite the GOP candidate’s insistence he wasn’t tied to it, also includes a proposal to restructure Medicaid as a block grant program, which would cap the amount of federal funding it receives. Currently, the federal government pays a fixed percentage of states’ Medicaid costs, regardless of the amount. Affordable Care Act subsidies that lower the cost of buying a health plan on state exchanges are also set to expire in 2025, unless they are renewed by Congress. 

Others have concerns that the study is being conducted by an organization with interests in the managed care industry. 

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At the beginning of November, over 30 organizations and individuals sent a letter to Lamont criticizing the selection of Manatt, one of the consultants conducting the Medicaid study. According to the advocates, several of Manatt’s clients are Medicaid managed care providers. The firm has also done legal work on behalf of Medicaid Health Plans of America, a trade association of managed care organizations. 

“In sum, it is impossible for Manatt to provide an independent, evidence-based assessment of our current nation-leading, efficient managed fee for service Medicaid program,” stated the advocates.

A spokesperson with Manatt did not respond to a request for comment. DSS spokesperson Stuart and Bednarz, the governor’s spokesperson, did not address specific questions about the concerns regarding Manatt. 



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Canton Thai restaurant offers space for community to celebrate Christmas

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Canton Thai restaurant offers space for community to celebrate Christmas


Providing space for people who may not have a place to celebrate this Christmas. That’s what a Thai restaurant in Canton offered to the community.

It feels a lot like Christmas inside Green Papaya restaurant in Canton.

“It’s a wonderful time. We like to trade gifts,” said Net Nunta, the cook at Green Papaya.

For her and her partner Dirk Peirsman, they were trading flavors and hospitality.

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“We don’t celebrate at home so we open here so we can see people too,” Nunta said.

Their restaurant was packed for the holiday, not just because they were one of the few places open, but also to offer a sense of community.

“They’re just great. They’ve both been a big part of the community,” said Lynne Kay, of New Hartford

The restaurant put a post on social media offering their space to anyone on Christmas Eve and Christmas Day who may not have a place to celebrate. It’s something they’ve been doing for the last five years.

 “I don’t know why the social media blew up on this year. Our sign has been outside always, but the community’s happy,” Peirsman said.

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People didn’t even need to eat Thai food as they could bring their own food, but many ate it or at least gave it a try.

“It’s healthy. It tastes good. It seems so clean. Yeah, we love it,” Tommy Skarupa said.

Nunta says this idea started after they came to Connecticut from Belgium to run the restaurant for Nunta’s mother about ten years ago. Both are very far from home and say they wanted to celebrate with the Canton community.

“It’s so lonely you know. Your whole family’s in Thailand and I don’t know anybody so that really hit me,” she said.

This meant welcoming anyone, even those who may be struggling with money around this time. Peirsman says he made sure to take care of at least one person.

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“I cannot give you anything off the menu, but we have some catering here. Come in and sit down, eat something for free,” he said.

So far, it’s been a success with customers vowing to make a return trip.

“We love the food. We love the service and love just seeing Dirk and his whole family,” Skarupa said.



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Snow Accumulation Estimates Increase For CT: Here Are The County-By-County Projections

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Snow Accumulation Estimates Increase For CT: Here Are The County-By-County Projections


UPDATE: A winter storm warning has been issued for Fairfield, New Haven and Litchfield counties. A winter weather advisory is in effect for Hartford and Middlesex counties.

No advisories have been issued for New London, Tolland and Windham counties.

The weather service said in an update Thursday afternoon that 4 to 8 inches of snow is forecast for Fairfield County.

Find out what’s happening in Across Connecticutfor free with the latest updates from Patch.

A total of 5 to 7 inches of snow is forecast for New Haven County but lesser amounts in eastern parts of the county.

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“Total snow accumulations between 5 and 7 inches,” the weather service said concerning New Haven County. “The eastern portion of the county may see less snow with accumulations 3 to 5 inches.”

Find out what’s happening in Across Connecticutfor free with the latest updates from Patch.

A winter weather advisory is in effect for Hartford County. “Total snow accumulations between 2 and 4 inches.”

A winter storm warning is in effect for Litchfield County. “Heavy snow expected. Total snow accumulations between 5 and 8 inches.”

A winter weather advisory is in effect for Middlesex County. “Total snow accumulations between 3 and 5 inches.”


Original story: The weather itself on Christmas will be pleasant with temperatures rising into the 40s under sunny skies but with wind gusts approaching 30 mph at times.

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This will all set the stage for an interesting but also complex snowstorm, which is scheduled to begin Friday evening. Folks residing in the western part of the state will see the most snow, possibly up to 7 inches of snow, while residents in the eastern part of the state could see as little as 1 to 3 inches of snow.

Snow could break out Friday afternoon in western parts of the state, while it may not start snowing until Friday night in eastern parts of Connecticut. The snow is forecast to mainly fall during the nighttime and overnight hours and should end by late morning Saturday.


Here is a full breakdown on the forecast for every county in the state via the National Weather Service:

Fairfield County snow details, via the weather service:

A winter storm watch remains in effect from Friday afternoon through Saturday afternoon. “Heavy snow possible. Total snow accumulations between 5 and 7 inches possible.” There is a 30 percent chance of snow after 1 p.m. Friday, but the storm really gets going in the evening hours.

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New Haven, Middlesex and New London counties snow details, via the weather service:

“A winter storm system will affect the region Friday afternoon through Saturday morning with an accumulating, plowable snow,” the weather service said in a hazardous weather outlook.

There is a 20 percent chance of snow after 1 p.m. in western parts of New Haven County, where 3 to 7 inches of snow may accumulate.

In eastern parts of New Haven County and Middlesex County, 3 to 5 inches of snow is forecast. And in New London County, 2 to 4 inches of snow is forecast. The snow here won’t begin until Friday night.

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Hartford County snow details, via the weather service:

Friday Night: Snow. Low around 19. Light northeast wind. Chance of precipitation is 80%. New snow accumulation of 2 to 4 inches possible.

Saturday: Snow likely, mainly before 1pm. Partly sunny, with a high near 30. North wind 3 to 6 mph. Chance of precipitation is 60%. New snow accumulation of less than a half inch possible.


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Tolland County snow details, via the weather service:

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Friday Night: Snow likely, mainly after 9pm. Cloudy, with a low around 17. Calm wind becoming northeast around 6 mph after midnight. Chance of precipitation is 70%. New snow accumulation of 2 to 4 inches possible.

Saturday: Snow likely, mainly before 1pm. Partly sunny, with a high near 28. Northeast wind 5 to 7 mph. Chance of precipitation is 60%. New snow accumulation of less than a half inch possible.


Windham County snow details, via the weather service:

Friday Night: Snow likely, mainly after 10pm. Cloudy, with a low around 18. Calm wind becoming northeast around 5 mph after midnight. Chance of precipitation is 70%. New snow accumulation of 1 to 3 inches possible.

Saturday: Snow likely, mainly before 1pm. Partly sunny, with a high near 30. Northeast wind around 6 mph. Chance of precipitation is 60%. New snow accumulation of less than a half inch possible.

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Litchfield County snow details, via the weather service:

Friday: A slight chance of snow after 1pm. Increasing clouds, with a high near 24. Wind chill values as low as -1. North wind 5 to 10 mph becoming light and variable in the afternoon. Chance of precipitation is 20%.

Friday Night: Snow. The snow could be heavy at times. Low around 16. Calm wind becoming east around 6 mph after midnight. Chance of precipitation is 90%. New snow accumulation of 3 to 7 inches possible.

Saturday: A chance of snow, mainly before 1pm. Partly sunny, with a high near 27. Northeast wind 3 to 6 mph. Chance of precipitation is 40%.


Sunday and beyond forecast details for Connecticut, via the National Weather Service

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Sunday: A chance of rain after 4pm. Mostly cloudy, with a high near 38. Calm wind becoming southwest around 6 mph in the afternoon. Chance of precipitation is 30%.

Sunday Night: A chance of rain and snow before 7pm, then snow likely between 7pm and 1am, then rain after 1am. Low around 27. Calm wind becoming south around 6 mph after midnight. Chance of precipitation is 90%.

Monday: Rain, mainly before 4pm. High near 45. South wind 6 to 11 mph becoming west in the afternoon. Winds could gust as high as 23 mph. Chance of precipitation is 80%.

Monday Night: A chance of rain before 9pm. Mostly cloudy, with a low around 23. West wind 10 to 13 mph, with gusts as high as 23 mph. Chance of precipitation is 30%.

Tuesday: Partly sunny, with a high near 32. West wind 13 to 16 mph, with gusts as high as 29 mph.

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Tuesday Night: Mostly cloudy, with a low around 20. West wind 6 to 8 mph.

Wednesday: Partly sunny, with a high near 34. Southwest wind 6 to 11 mph, with gusts as high as 22 mph.

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Connecticut prepares for cold weather protocols as arctic air hits during holidays

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Connecticut prepares for cold weather protocols as arctic air hits during holidays


MERIDEN, Conn. (WFSB) – Governor Ned Lamont activated Connecticut’s severe cold weather protocols as arctic air moves into the state during the holiday period.

The protocols were set to go into effect Christmas Day at 5 p.m. and remain active until Sunday, Dec. 28. Warming shelters were expected to be open statewide during this period. Residents were told to call 211 to find a shelter near them.

Click HERE for the latest forecast from Channel 3’s meteorologists.

Families brave cold for holiday traditions

Despite the frigid temperatures, families continued holiday traditions at locations like Hubbard Park in Meriden, where visitors bundled up to see the Festival of Silver Lights.

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“It’s a yearly thing we do every single year. We’re from the town and we’re local. It’s nice to be out here and see the lights,” said Erwin Ndwiga of Meriden.

His family member Melissa Ndwiga shared her cold weather strategy: “If I’m going to wear a short sleeve shirt, I always wear thermal wear under. A jacket. I usually have three to four layers on. Hat, earmuffs, gloves.”

Safety recommendations during cold snap

State officials recommend several precautions during the freezing stretch:

  • Check heating devices to ensure they work properly.
  • Limit pets’ time outdoors.
  • Check on elderly neighbors and family members, who are most vulnerable during extreme cold.
  • Do not use a stove or oven to heat your home due to potential gas, carbon monoxide, and fire hazards.
  • Check your vehicle before traveling: tires, lights, brakes, and windshield wipers.
  • Keep your gas tank at least half full and carry an emergency kit.

Residents can find a nearby warming shelter by calling 211 or clicking HERE.



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