PCCM

Sheldon Toubman's picture

A New Day in Healthcare: HUSKY Alternative to HMOs

For the last several years, I have advocated for the State of Connecticut's adoption of the Primary Care Case Management model, “PCCM”, for HUSKY, Connecticut’s Medicaid program that provides health coverage for low-income children and families. PCCM does not involve insurance companies or HMOs. Under it, primary care providers are paid extra to coordinate care and keep their patients out of more expensive settings. This Medicaid model could deliver better quality care at a lower cost.

Amy Casavina Hall's picture

New Haven is at the Tip of a Health Care Cost Savings Iceburg

Let's do more of what works.

And in health care, three years ago the CT legislature asked HUSKY (Connecticut's Medicaid program to provide health care coverage to low-income children and adults) to pilot a program called Primary Care Case Management (PCCM) that has demonstrated significant cost savings in other parts of the county.  The idea is simple: remove private insurance companies and instead people on HUSKY covered by PCCM receive care coordination through their primary care physicians.  The state pays providers $7.50/month to cover the cost of coordinating care, and patients get the benefit of working closely with their doctors and not facing limits on care based on health insurance providers trying to manage their costs.

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