Report: Connecticut's Medicaid Expansion Increased Coverage, Access to Preventive Care and Behavioral Health Treatment
/A recently issued report found that emergency department visits are down; coverage seen as critical in fight against opioids has expanded, and preventative care and mental health care have become more prevalent – all resulting from a 2010 policy decision made by Connecticut’s elected officials to expand Medicaid coverage.
That decision, made collaboratively by a Republican Governor (M. Jodi Rell) and Democratic-controlled legislature – helped to reduce Connecticut’s uninsured rate from 9.1 percent in 2010 to 4.9 percent in 2016 and created a significant source of coverage for preventive health services and behavioral health care, according to the report developed by the Connecticut Health Foundation.
The report examines the impact of HUSKY D, as the Medicaid expansion is known, and highlights a number of key findings:
- Most people covered by HUSKY D are using their insurance to get care. Just over 80 percent of people with HUSKY D used the coverage for preventive or outpatient health services in 2016.
- Emergency department usage among HUSKY D members is down significantly. The rate of emergency department visits fell by 36 percent from 2012 to 2016.
- HUSKY D is a significant source of coverage for behavioral health care. In 2016, more than one in three HUSKY D members – 36 percent – used their coverage to get care for a mental health condition or substance use disorder.
- Outcomes have improved for diabetes patients with HUSKY D. A review of more than 500 HUSKY D members with diabetes found that the percentage whose blood glucose was under control rose from 31 percent to 50 percent from 2012 to 2016.
The report also examines the role HUSKY D plays in other policy work in the state, including addressing the opioid crisis and helping those leaving prison get medical and behavioral health treatment when they return to society. The report notes that before HUSKY D, individuals with substance use disorders were generally not eligible for Medicaid, creating a major barrier to treatment.
“Health insurance coverage is a critical first step to health, but it is also important to ensure that people are able to use that coverage to get care, and for that care to make a difference in people’s health,” said Patricia Baker, president and CEO of the Connecticut Health Foundation. “This research underscores the importance of HUSKY D in giving low-income state residents the tools to take care of their health.”
HUSKY D covers adults ages 19 to 64 who do not have minor children and whose income falls below 138 percent of the poverty level – the equivalent of $16,643 for an individual. (For comparison purposes, a person working 30 hours per week at Connecticut’s minimum wage – $10.10 per hour – would earn $15,756 in a year, the report indicates.)
The report concluded that “nearly eight years after Connecticut expanded HUSKY to cover more low-income adults, HUSKY D has made a significant impact on the state’s uninsured rate and the lives of thousands of people. The majority of those covered are using this insurance to get preventive care, and the rate of emergency department usage has declined, a promising trend.”
The report also notes that the federal government has “financed more t
han 90 percent of the cost of the program, allowing Connecticut to cover more than 200,000 people with a relatively small budgetary impact.” Currently, the federal government pays 94 percent of the cost of coverage and the state pays 6 percent. The report also identifies challenges associated with HUSKY D, including concerns raised by health care providers about Medicaid payment rates and uncertainty in federal funding.
The report’s analysis indicates that HUSKY D enrollees live in every city and town in Connecticut. The largest number of covered individuals live in Hartford (18,404), Bridgeport (16,330), New Haven (15,583), Waterbury (13,989), New Britain (8,439) and Stamford (6,110).
The Connecticut Health Foundation is the state’s largest independent health philanthropy dedicated to improving lives by changing health systems. Since it was established in 1999, the foundation has supported innovative grantmaking, public policy research, technical assistance, and convening stakeholders to achieve its mission – to improve the health of the people of Connecticut. Since its creation, the Connecticut Health Foundation has awarded grants totaling more than $60 million in 45 cities and towns throughout the state.

3 Seconds Behind the Wheel, which debuts on Connecticut Public on Thursday evening, is a new
The film also gives audiences a firsthand look at emerging technologies that could one day offer solutions to rising crash statistics. The documentary follows researchers at Google who are using driving simulators to develop next-generation in-car infotainment systems, and explores how one Swedish company is experimenting with technology that could one day allow cars to understand human feelings and make driving decisions based on individual needs.


The U.S. DOT invests in the future of transportation through its University Transportation Centers (UTC) Program, which awards and administers grants to consortia of colleges and universities across the United States. In the Northeast, other consortia with the same policy focus include a 9-institution UTC led by Rutgers, the State University of New Jersey and a 6-institution group led by Pennsylvania State University.

Smith and Robert Patricelli, former CEO & Founder of Women's Health USA, who co-chaired the panel, were featured along with Commission member Cindi Bigelow, CEO of Bigelow Tea, at an event coordinated by the Hartford Business Journal last week. It was one of nearly 100 forums, discussions and one-on-one meetings that the co-chairs and other commission members have had since their findings and recommendations were issued.
The co-chairs say it is understandable that more was not done with the Commission’s recommendations during the short 2018 legislative session, largely because an election was just around the corner. Instead, the legislature opted to have the Office of Policy and Management (OPM) coordinate two studies, soon to get underway. One would look at the Commission’s recommendations that involve “rebalancing of state taxes to better stimulate economic growth without raising net new taxes”; the other would conduct a study of the proposal for reform of the Teachers' Retirement System.
The survey found that 38 percent of students whose grades were mostly A’s texted or e-mailed while driving a car on at least one occasion in the 30 days prior to the survey. The percentage was slightly less among students with lower grades: 31% of students with mostly B’s, 30% of students with mostly C’s and 23% of students with mostly D’s and F’s.
More than a dozen Connecticut companies had a presence in the state’s pavilion at the event: Jackson Laboratory, Sema4, Genotech Matrix, AlvaHealth, RallyBio, Cantor Colburn, Pfizer, e-Path Learning, Thetis Pharmaceuticals, XViVO, Clarity Quest, Lucerna, Wyant Simboli, Boehringer Ingelheim, Aeromics, LambdaVision, Pattern Genomics.
All told, there were more than 1,000 companies from dozens of nations represented at the 25th anniversary conference. The organizations 

by the Common Core Standards and provides a pathway for 21st Century Skills.
Globally-Focused Coursework would require at least 7.0 credits or demonstration of mastery and Globally-focused Student Activities would require competency in global citizenship through active participation in “at least one or more co-curricular and other school-sponsored or endorsed activities over at least 3 years of their high school experience with suggested involvement of a total of at least 15 hours.”
As he further established his career, Church traveled to remote places to sketch majestic scenes unfamiliar to his American audience, turning them into dramatic, large-scale paintings. These travels provided Church with ideas and material to produce major paintings for his wealthy patrons, including prominent American industrialists and financiers such as Hartford’s Timothy Mather Allyn, J. Pierpont Morgan and firearms manufacturer Elizabeth Hart Jarvis Colt.
