Connecticut
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.
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.”
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.
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.
Connecticut
Justice Department sues Connecticut and Arizona as part of effort to get voter data from the states
HARTFORD, Conn. (AP) — Officials in Connecticut and Arizona are defending their decision to refuse a request by the U.S. Justice Department for detailed voter information, after their states became the latest to face federal lawsuits over the issue.
“Pound sand,” Arizona Secretary of State Adrian Fontes posted on X, saying the release of the voter records would violate state and federal law.
The Justice Department’s Civil Rights Division announced this week it was suing Connecticut and Arizona for failing to comply with its requests, bringing to 23 the number of states the department has sued to obtain the data. It also has filed suit against the District of Columbia.
Attorney General Pam Bondi said the department will “continue filing lawsuits to protect American elections,” saying accurate voter rolls are the ”foundation of election integrity.”
Secretaries of state and state attorneys general who have pushed back against the effort say it violates federal privacy law, which protects the sharing of individual data with the government, and would run afoul of their own state laws that restrict what voter information can be released publicly. Some of the data the Justice Department is seeking includes names, dates of birth, residential addresses, driver’s license numbers and partial Social Security numbers.
Other requests included basic questions about the procedures states use to comply with federal voting laws, while some have been more state-specific. They have referenced perceived inconsistencies from a survey from the U.S. Election Assistance Commission.
Most of the lawsuits target states led by Democrats, who have said they have been unable to get a firm answer about why the Justice Department wants the information and how it plans to use it. Last fall, 10 Democratic secretaries of state sent a letter to the Justice Department and the Department of Homeland Security expressing concern after DHS said it had received voter data and would enter it into a federal program used to verify citizenship status.
Connecticut Attorney General William Tong, a Democrat, said his state had tried to “work cooperatively” with the Justice Department to understand the basis for its request for voters’ personal information.
“Rather than communicating productively with us, they rushed to sue,” Tong said Tuesday, after the lawsuit was filed.
Connecticut, he said, “takes its obligations under federal laws very seriously.” He pledged to “vigorously defend the state against this meritless and deeply disappointing lawsuit.”
Two Republican state senators in Connecticut said they welcomed the federal lawsuit. They said a recent absentee ballot scandal in the state’s largest city, Bridgeport, had made the state a “national punchline.”
Connecticut
New businesses heading to West Haven’s shoreline
New businesses are soon set to replace old, rundown buildings in West Haven.
By the end of the summer, the former Savin Rock conference center is slated to become the Kelsey, a restaurant and banquet facility.
Crews are currently working on the inside, according to Mayor Dorinda Borer.
Next door, Jimmies of Savin Rock sits empty after it closed last month. It was open for a hundred years and is now for sale.
Borer said it’s another opportunity to draw people to the city.
“When there are new developers in town, and they’re making things all bright and shiny, that makes people attracted to our city,” Borer said. “It just seems like everything’s starting to bust loose at once. It’s a lot of work behind the scenes, and then it all starts to come to fruition.”
Thirty new luxury apartments are set to replace the Debonair Beach Motel that fell into disrepair after its last day open more than a decade ago. Demolition began last fall, and it’s expected to continue in March.
Down the street, new condos were built by the same owner of the restaurant and bar Riva. They opened their doors last summer, welcoming eager crowds.
“The turnout’s been unbelievable,” Riva’s owner, Michael Delvecchio, said. “People traveling from other states, New York, Rhode Island, all over Connecticut. It’s something that West Haven been dying for.”
Riva replaced Chick’s Drive-In, a West Haven hot-dog and seafood staple that closed in 2015 after its owner passed away.
Delvecchio doesn’t ignore that history. A sign that says “The Lodge at Riva” will be removed and replaced with “Chick’s” during the summer, with accompanying pictures of Savin Rock amusement park on the walls.
“Everybody in town has been, with all this shoreline and all this beach, waiting for something to happen,” he said. “Riva’s a little bit of everything.”
Connecticut
State opens investigation into former New Haven police chief amid stolen money allegations
Connecticut State Police and the Chief State’s Attorney have opened an investigation into former New Haven Police Chief Karl Jacobsen and allegations that he misused public funds.
The City of New Haven reported the allegations to State’s Attorney John Doyle on Monday.
New Haven Mayor Justin Elicker said Monday Jacobson admitted to stealing money from a fund used by the New Haven Police Department to pay for an support its confidential informant program.
Several officers flagged irregularities in the account and notified the three assistant chiefs in the department, according to Elicker. It was then that the assistant chiefs confronted Jacobson on Monday morning.
Elicker said after being confronted, Jacobson admitted to taking the funds. The assistant chiefs then notified Chief Administrative Officer Justin McCarthy, who then notified Elicker.
Jacobson was called in for a meeting with Elicker, where he was to be placed on administrative leave. Elicker said that before the meeting, Jacobson handed in his paperwork to retire, effective immediately.
The mayor was unable to share additional details on how much money was reportedly taken or for how long due to the ongoing investigation.
Assistant Chief David Zannelli has been appointed as the acting police chief.
State police will conduct the investigation and Chief State’s Attorney Patrick Griffin has appointed New Britain Judicial District State’s Attorney Christian Watson to oversee the investigation to avoid any potential conflicts of interest.
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