Pediatric I.V. Backpack Invented by 11-Year-Old Passes Another Milestone

Eleven-year-old Kylie Simonds of Naugatuck sought to raise $50,000 to manufacture a working prototype of the pediatric chemo back-pack she invented.  In just five months, she has.  Her gofundme campaign, which began on July 22, now stands at $53, 134. Kylie is a cancer survivor, and designed an I.V. backpack for children on chemotherapy, receiving transfusions, or other medical reasons.  Her goal was to improve mobility – to make moving around easier, eliminating the traditional I.V. poles. 

Kylie was challenged to come up with an invention through her school (Cross Street School) and the Connecticut Invention Convention, held annually. More than 130 Connecticut schools participate, creating over 10,000 young inventors each year. Kylie's invention was chosen by her middle school teachers, among others, and she attended the Invention Convention, where over 700 of the top inventions were displayed and many selected for awards and recognition.

Kylie's invention received four awards, including the "Patent Award", the highest award at the convention. The Patent Award has allowed Kylie's invention to be submitted to the US Patent & Trademark Office with the sponsor covering all costs.

Her accomplishment was recently noted in the Bulletin of the Connecticut Academy of Science and Engineering, and has been featured in news media stories in Connecticut and beyond.  Last month, she was among ten young people (she was the youngest) honored as “women in tech” at the Women of the Year Awards sponsored by Glamour magazine.

With help from her father, Kylie is now doing R&D to make the prototype.  She has found numerous infusion pumps that will suit this idea but the cost for them is thousands of dollars.  For example, the controller device will need to be customized to be mobile and also small enough to fit in a backpack.  Additionally, the backpack will need to be designed to support both the IV infusion pump and the carry rod.

Kylie, the oldest of three children in her family, underwent 46 weeks of chemotherapy and is in remission from rhabdomyosarcoma, a cancer that affects the soft tissues and connective tissues or bones.

“I used to have to use the IV poles and I always tripped over all the wires,” she said. “It was hard to walk around and I always had to have someone push it for me because I was kind of weak when I was in chemo.”

She hopes to begin production of lines of the backpacks for boys and girls, which will incorporate animal features into the design to make them fun for young children.  Next would be researching designs for a backpack line for teens and young adults.

A total of 1,289 people have donated to her fundraising initiative, which remains active, according to the webpage.  Kylie has indicated that all donations in excess of her $50,000 goal will go towards the manufacturing of the “first usable I.V. backpacks.  EVERY PENNY!”

Planning Underway for 2015 White House Conference on Aging; Connecticut Has 7th Oldest Population

Next year will be the 50th anniversary of Medicare, Medicaid, and the Older Americans Act, as well as the 80th anniversary of Social Security. It will also be the year when the White House will convene the 2015 White House Conference on Aging. The Conference will be of particular interest in Connecticut, currently the 7th oldest state in the nation based on median age.  The state is undergoing “a permanent and historic transformation in its demographics,” according to the state’s Legislative Commission on Aging (LCA).

The first White House Conference on Aging was held in 1961, with subsequent conferences in 1971, 1981, 1995, and 2005. These conferences have been widely viewed as catalysts for development of aging policy over the past 50 years.

The White House is “fully committed,” to conducting a 2015 conference, and is moving forward developing plans.  Officials intend to seek broad public engagement and work closely with stakeholders in developing the conference, viewed as “an opportunity to look ahead to the issues that will help shape the landscape for older Americans for the next decade.”

Given the advances in technology and social media in the past decade, the 2015 Conference is expected to use web tools and social media “to encourage as many older Americans as possible to participate,” according to White House officials.

Among the key issues likely to be included are: retirement security; healthy aging; long-term services and supports to help older adults remain in their communities; and preventing financial exploitation, abuse, and neglect of older adults.

According to the Connecticut for Livable Communities report, issued earlier this year by the LCA, the state’s 65 and older population is projected to grow by 57% between 2010 and 2040. During the same period, Connecticut’s 20- to 64-year-old population is projected to grow less than 2%.

“In 2010, there were 4.35 working-age people for each person age 65 and older in Connecticut,” according to the CLCA. “In 2030, there will be only 2.75.”  More than one-third of the Connecticut population is over the age of 50, according to the report, and that proportion continues to rise. Residents born in Connecticut today, the report indicates, can expect to live to be 80.8 years old—the third highest life expectancy in the nation.

Nationally in 2013, there were 44.7 million Americans aged 65 and over and 6 million aged 85 and over.  Over the next 50 years, the number of people aged 65 and older is expected to more than double to 92 million and the number of people aged 85 and older is expected to triple to 18 million.

Among the key areas expected to be highlighted during the Conference, according to the White House website:

• Retirement security - Financial security in retirement provides essential peace of mind for older Americans, but requires attention during our working lives to ensure that we are well prepared for retirement.
• Healthy aging will be all the more important as baby boomers age. As medical advances progress, the opportunities for older Americans to maintain their health and vitality should progress as well and community supports, including housing, are important tools to promote this vitality.
• Long-term services and supports - Older Americans overwhelmingly prefer to remain independent in the community as they age. They need supports to do so, including a caregiving network and well-supported workforce.
• Elder justice - Seniors, particularly the oldest older Americans, can be vulnerable to financial exploitation, abuse, and neglect. The Elder Justice Act was enacted as part of the Affordable Care Act, aimed at protecting seniors from scam artists and others seeking to take advantage of them.

In 2013, there were 75.9 million baby boomers (people born between 1946 and 1964) accounting for almost one-quarter of the population. Baby boomers began turning 65 years old in 2011.  Between 1980 and 2013, the centenarian population more than doubled from 32,194 in 1980 to 67,347 in 2013.

Between 1990 and 2013, the labor force participation rate of people age 65 and over increased from 12% to 19%.  Among the population age 65 and over, there are 128 women for every 100 men. At age 85 and over this ratio increases to 196 women for every 100 men.

Earlier this year, Cecilia Muñoz, Assistant to the President and Director of the Domestic Policy Council, announced that Nora Super will be leading this effort as the Executive Director of the 2015 White House Conference on Aging.

Additional information can be obtained by contacting: White House Conference on Aging, 200 Independence Avenue SW, Suite 637D, Hubert H. Humphrey Building, Washington, DC  20201, (202) 619-3636, info@whaging.gov. Individuals can also sign up for updates as plans develop, at https://public.govdelivery.com/accounts/USWHCA/subscriber/new?topic_id=USWHCA_1

Individuals with Depression Not Seeking Help from Mental Health Professionals, Study Finds

As the public conversation about mental health continues, new federal data released by the Centers for Disease Control and Prevention suggest that nearly two-thirds of individuals who have severe depression do not seek the assistance of mental health professionals. The report, by the National Center for Health Statistics within CDC, also found that people with mild depressive symptoms, as well as those with moderate or severe depressive symptoms, reported difficulties with work, home, and social activities related to their symptoms. For those with severe depression, nearly 90 percent reported such difficulties.  Nearly 3 in 4 with moderate depression also reported having difficulty in those everyday situations.

Studies have shown that the most effective treatment for depression, especially for severe depression, is a combination of medication and therapy. Although medication can be prescribed by a primary care physician, therapy is generally provided by a mental health professional.

The study, which covered 2009-2012, found:

• 7.6% of Americans (aged 12 and over) had depression (defined as moderate or severe depressive symptoms in the past 2 weeks). Depression was more prevalent among females and individuals age 40–59.
• About 3% of Americans (aged 12 and over) had severe depressive symptoms, while almost 78% had no symptoms.
• People living below the poverty level were nearly 2½ times more likely to have depression than those at or above the poverty level.
• Almost 43% of persons with severe depressive symptoms reported serious difficulties in work, home, and social activities. Of those with severe symptoms, 35% reported having contact with a mental health professional in the past year.

According to the National Institutes of Health, more than 20 million people in the United States have depression. Its symptoms go beyond feeling sad for a few days, and interfere with people's daily lives, causing energy loss, feelings of worthlessness, problems with sleeping, or thoughts of death or suicide.

A report by the Connecticut Department of Public Health (DPH) issued earlier this year found that 1 in 6 Connecticut adults (16.7 percent) reported having been told they had a depressive disorder. Women were significantly more likely to have been told they had a depressive disorder (19.0 percent) compared to men (14.2 percent).The likelihood of having been diagnosed with a depressive disorder decreased significantly for each increase in income range, the study found.  The DPH data is from 2012.

According to the CDC, depression is a serious medical illness with mood, cognitive, and physical symptoms. Depression is associated with higher rates of chronic disease, increased use of health care facilities, and impaired functioning.  Its causes may be genetic, environmental, psychological or biochemical.  Numerous studies have also shown that individuals with depression have more functional limitations than those without depression. The DPH study points out that “Depressive disorders may interfere with a person’s work and daily activities and prevent them from functioning normally. Some forms of depression develop under unique circumstances; others occur in episodes or may be longer-term.”

Concussion Education Plan Due to School Districts on January 1; Advisory Panel Meets Today

Three weeks from now, Connecticut should have in place a state concussion education plan to be used by local and regional boards of education.  That’s according to a law passed by state legislators earlier this year in response to growing concerns about the potential lifelong effects of concussions on students injured in school sports. Local school boards will be responsible for implementing the plan using written materials, online training or videos, or in-person training.

The Connecticut Youth Concussion Advisory Group, coordinating the state’s effort, has met four times this fall.  Minutes of the most recent meeting, on November 6, were posted to the group’s website more than a month later, just days ahead of the meeting scheduled for Thursday, December 11.  That meeting is to include an update on the Concussion Education Plan, according to the meeting agenda.

Although the law was approved in May, it was highlighted in public ceremonies in September in Westport, the hometown of three mothers who were instrumental in advocating for passage of the law. Each of their sons’ lives were changed by concussions. Ann Sherwood, Pippa Bell Ader and Diana Coyne came together to form the Parents Concussion Coalition, FOX Connecticut reported.

Public Act 14-66 requires the state Department of Education to consult with the state Department of Public Health, the governing authority for intramural and interscholastic athletics, an appropriate organization representing licensed athletic trainers, and an organization representing county medical associations to do the following:

• By January 1, 2015, develop a concussion education plan to be used by local and regional boards of education. Boards of education will be responsible for implementing such plan using written materials, online training or videos, or in person training.
• Develop a signed informed consent, which must include a summary of the concussion education plan, and a summary of the local board’s policies regarding concussions. For the school year beginning July 1, 2105, local boards of education must prohibit a student athlete from participating in intramural or interscholastic athletic activities unless the student athlete and a parent or guardian returns such form.
• Collect and report to DPH all occurrences of concussions, including the nature and extent of the concussion and the circumstances in which the student sustained the concussion.

The law also requires that a training course regarding concussions be developed or approved, and that “a refresher course regarding concussions, including current best practices, and, for football coaches, current best practices around the frequency of games and full contact practices and scrimmages.”  That provision was effective on October 1. 

At the November meeting of the Advisory Group, “there was discussion regarding the pros and cons of mandating a specific time frame between stages of recovery from a concussion versus considering each case individually and relying on the student’s physician,” the meeting minutes reported.  Among materials reviewed were a Concussion Web page, Concussion Education Initiative Course feedback, and an annual review and refresher course.

Regarding data collection, the Advisory Group “discussed what will work best for schools; what is an ideal versus realistic approach.”

The Connecticut Interscholastic Athletic Conference (CIAC) Board of Control is requiring all CIAC member schools (including private and parochial schools not covered by the law) to develop a plan and begin implementation in the 2014-15 school year.

Westport’s Staples High School is among the Connecticut school that now provide concussion protocols on their websites, so that students, parents, coaches and the community are aware of expected practices.  According to the Staples site, “links include concussion education, the concussion care plan that is to be filled out by your physician when a concussion occurs, our procedures for concussion management, and our Return to Play protocol that will be followed by all athletes before returning to competition after sustaining a concussion.”

Connecticut was one of the first states in the nation to adopt a concussion law, in 2010, following Oregon and Washington, which implemented similar statutes in 2009.  The law dealt primarily with training requirements for coaches.

Video 1       Video 2

Postpartum Psychosis More Prevalent Than Most Realize

Listeners to the National Public Radio program “On Point” this week heard a Connecticut resident discussing the progress being made on a one-on-one basis, as well as through international efforts, to respond to the prevalence of postpartum psychosis. Teresa Twomey of Cheshire is co-coordinator in Connecticut for Postpartum Support International (PSI) the leading organization dedicated to helping women who experience perinatal mood disorders, working to increase awareness among public and professional communities.

Approximately 15 percent of all women (1 in 8) will experience postpartum depression following the birth of a child, according to the nonprofit organization. Up to 10 percent will experience depression or anxiety during pregnancy. When the mental health of the mother is compromised, PSI explains, it affects the entire family.

A woman with postpartum depression might experience feelings of anger, sadness, irritability, guilt, lack of interest in the baby, changes in eating and sleeping habits, trouble concentrating, thoughts of hopelessness and sometimes even thoughts of harming the baby or herself.

In a TEDx talk in Hartford a year ago, Twomey described her own postpartum psychosis, which was both unexpected and severe.  While initially reluctant to discuss her circumstances publically, the well-publicized deaths of children in the U.S. at the hands of their mothers while suffering from postpartum psychosis prompted her to action. 

Based on her personal experiences, Twomey is the author of “Understanding Postpartum Psychosis: A Temporary Madness.” In an interview with FOX Connecticut when the book was published five years ago, she said "while most women who suffer postpartum psychosis eventually recover without harming anyone, they most often do so in silence.” Paranoia is a common symptom, explained Twomey, and “that moves women to hide their symptoms from everyone around them. The woman can hence appear normal, but be putting both herself and her baby at risk. We can prevent and treat this, but we need to recognize it by better screening of women postpartum."

While many women experience some mild mood changes during or after the birth of a child, 15 to 20 percent of women experience more significant symptoms of depression or anxiety, according to the PSI website. Women of every culture, age, income level and race can develop perinatal mood and anxiety disorders. Symptoms can appear any time during pregnancy and the first 12 months after childbirth.

PSI stresses that there are effective and well-researched treatment options to help advance recovery. Every perinatal mood disorder, no matter how strong the symptoms are, is temporary and treatable, PSI points out.

PSI Coordinators are volunteers who offer caring and informed support and resources to moms and their families. They also provide information and resources for area providers who are caring for pregnant and postpartum families.  In Connecticut, the volunteer organization has support groups based in Middletown, New Britain and West Hartford.  Support services provided are free of charge.

The organization states that there is no one cause for perinatal mood and anxiety disorders. Women who develop depression or anxiety around childbearing have symptoms that are caused by a combination of psychological, social, and biological stressors, and there does not need to be a family history of depression.  “Developing a perinatal mood and anxiety disorder is not your fault,” the website emphasizes. “You did not do anything to ‘get’ this.”

PSI headquarters is located in Portland, Oregon and has members all over the world, including volunteer coordinators in every one of the United States and in more than 36 other countries. PSI disseminates information and resources through its volunteer coordinators, website and annual conference. Its goal is to provide current information, resources, education, and to advocate for further research and legislation to support perinatal mental health.

Twomey said that postpartum psychosis should be treated as a public health issue, so that greater attention could be focused on prevention.  Although retelling and reliving her story is difficult, she does so because “if this helps one family, saves one life, it is worth it.”

Adult Obesity Rate Reduced in Connecticut; Climbs in Neighboring States

Obesity, a common and costly health issue that increases risk for heart disease, type 2 diabetes, and cancer, affects more than one-third of adults and 17 percent of youth in the United States. A state-by-state review indicates that the adult obesity rate in Connecticut has dropped slightly in 2013 compared with 2012, and remains at about one-quarter of the population, mid-range among the states.  Nationwide, improvement remains elusive. By the numbers, 78 million adults and 12 million children are obese—figures many regard as an epidemic. Adults are considered obese when they are about 35 pounds overweight.

In Connecticut, the segment of the adult population considered to be obese dropped from 25.6 percent in 2012 to 25.0 percent in 2013.  It was the only state among those bordering Connecticut to see an improvement in the obesity rate.

In neighboring New York, the rate climbed from 23.6 percent in 2012 to 25.4 percent in 2013. In Massachusetts, the obesity rate was 23.6 in 2013, up from 22.9 in 2012.  In Rhode Island, the obesity rate increased from 25.7 percent of the adult population to 27.3 percent.

Data from the Behavioral Risk Factor Surveillance System, of the National Centers for Disease Control and Prevention was featured by the National Conference of State Legislatures.

In 2013, obesity rates among American adults remained high, and in numerous instances, was rising:

• No state has an obesity rate below 21 percent.
• In two states – Mississippi and West Virginia - obesity rates now exceed 35 percent for the first time, the highest in the nation.
• 20 states have obesity rates at or above 30 percent. (In 2012, 13 states had levels that exceeded 30 percent.)

Overweight and obese individuals are at increased risk for many diseases and health chronic conditions, including hypertension (high blood pressure), osteoarthritis (a degeneration of cartilage and its underlying bone within a joint), dyslipidemia (for example, high total cholesterol or high levels of triglycerides), type 2 diabetes, heart disease, stroke, gallbladder disease, sleep apnea and respiratory problems, and some cancers (pancreas, kidney, prostate, endometrial, breast, and colon).

The lowest obesity rates in the nation are in Colorado, at 21.3 percent and Hawaii at 21.8 percent.  In both states, the rate declined between 2012 and 2013.

Jewel Mullen: Public Health Commissioner At Center of State's Ebola Response

Described on the Yale School of Public Health website as “a leader in building effective community-based chronic disease prevention programs,” Connecticut’s Commissioner of Public Health, Dr. Jewel Mullen, has a long academic association with Yale, even as both were catapulted into the breaking news spotlight with a possible case of the Ebola virus in a patient under care at Yale-New Haven Hospital. Mullen is also well-acquainted with the U.S. Centers for Disease Control and Prevention, having served on public health advisory committees, appointed by the CDC and the U.S. Department of Health and Human Services.  Little known by state residents outside of the public health community, she is well regarded within those circles.

She is the New England regional representative to the Association of State and Territorial Health Officials (ASTHO) Board of Directors and chairs ASTHO’s Prevention Policy Committee. In 2013, she was appointed to the Institute of Medicine’s Committee on Quality Measures for the Healthy People Leading Health Indicators.

Appointed as Commissioner by Governor Dannel Malloy at the start of his administration in 2011, Dr. Mullen has combined clinical work, research, teaching and administration throughout a career focused on improving the health of all people, especially the under served. Board certified in internal medicine, Dr. Mullen received her Bachelor (1977) and Master (1996) of Public Health degrees from Yale University where she also completed a post-doctoral fellowship in psychosocial epidemiology.

Earlier this month, Malloy declared a public health emergency in Connecticut, issuing a precautionary and preparatory order that allows state public health officials to coordinate a targeted quarantine in case Ebola arrives in the state, with decision-making authority residing in Commission Mullen.  Without the Governor’s declaration, there would not be a statewide ability to isolate or quarantine – instead, the authority would have remained with individual local public health directors.

Prior to joining the Department of Public Health, Dr. Mullen was director of the Bureau of Community Health and Prevention at the Massachusetts Department of Public Health. In 2012 the CDC appointed Dr. Mullen to its advisory committee on health disparities, a subcommittee of the Advisory Committee to the Director.  Earlier in her career, she was the medical director of Baystate Mason Square Neighborhood Health Center in Springfield, Massachusetts. She graduated from the Mount Sinai School of Medicine where she was elected to AOA, the National Medical Honor Society, after which she completed her residency at the Hospital of the University of Pennsylvania.

In addition to being a physician, Mullen is also an educator, who has taught medicine at several different universities including New York University, the University of Virginia, Yale and Tufts University. . She also holds a Master in Public Administration degree from Harvard University’s John F. Kennedy School of Government. She is currently listed as a lecturer in epidemiology (chronic diseases) and in public health by the Yale School of Public Health and is an ex-officio member of the state Board of Regents for Higher Education.

Her priorities at the Connecticut Department of Public Health, according to the Department website, include chronic disease and injury prevention, health care quality and safety, health equity, and supporting local efforts to create healthy communities.  She has lived in Connecticut since 1992.

CT’s 40 Fastest Growing Tech Companies Achieve Statewide Recognition

Connecticut’s fasted growing technology companies will be the center of attention Thursday evening as the Connecticut Technology Council (CTC) and Marcum LLP spotlight the 2014 Marcum Tech Top 40. Now in its 7^th year, the annual list features privately and publicly held companies, including some newcomers to the top 40. The 2014 winners are predominantly privately held companies, but 12 public companies also made the list, including Rogers Corporation, Gartner Inc. and Alexion Pharmaceuticals. That’s a slight drop from a year ago, when 14 public companies made the list.

Geographically, Fairfield County is home to 16 winning companies this year, followed by Hartford County and New Haven County, both with ten companies. For Fairfield and New Haven counties, the count increased by two businesses from a year ago; for Hartford County, the number was unchanged from last year. 

The selected companies have at least $3 million in annual revenue and a demonstrated record of growth in each of the preceding four years.  Four of the businesses have over $1 billion in revenue.

The Marcum Tech Top 40 recognizes technology leaders in six industry sectors, including Advanced Manufacturing, Energy/Environmental, Life Sciences, New Media/Internet/Telecom, IT Services, and Software. This year’s winners range from newcomer VRSim, Inc., a creator of virtual reality training tools for industrial and manufacturing applications, to Priceline.com, a leader in mobile travel.

Bruce Carlson, CTC’s President and CEO added, “Connecticut is proud of its remarkable heritage of innovation and invention. Job growth in Connecticut is going to come from the technology sector and these Tech Top 40 companies are a great example of the range of technology companies that are growing substantially in Connecticut.”

Among the names on this year’s list:  Frontier Communications, based in Stamford, providing communications services to residential and business customers across the country (in the news this year for the proposed purchase of AT&T’s business in Connecticut); and Bolt Technology Corporation, based in Norwalk, the leading worldwide developer and manufacturer of seismic energy sources, synchronizers and underwater connectors used in offshore seismic exploration for oil and gas; and Fitlinxx, based in Shelton,  an industry leading provider of wellness applications, wireless activity monitors, and health tracking devices that motivate people to live active and healthy lifestyles.

The city with the largest number of companies on the Top 40 list this year is Stamford, with six, followed by Norwalk with four, Shelton with three, and Wallingford, South Windsor, Simsbury and New Haven, each with two businesses on the list.  Other towns with a top 40 high tech business are Torrington, Danbury, West Hartford, Cheshire, Guilford, Greenwich, Plainville, Middlebury, New London, Killingly, Middletown, Fairfield, Madison, Branford, Farmington, Glastonbury, Windsor, Orange and East Hartford.

“Technology companies have a set of shared challenges that range from capital-raising and complex revenue reporting to intellectual property management and international expansion.  Whether they are private enterprises or Fortune 500 companies, this year’s Marcum Tech Top 40 winners all demonstrate management excellence and market foresight,” said Alex Discepolo, a Tax Partner in Marcum’s New Haven office and Practice Leader of the Firm’s High Technology Services Group.

The October 2 awards program, being held at the Oakdale Theater in Wallingford, will include an exhibition featuring the Marcum Tech Top 40 companies. Six category winners will be announced, and one company will be named overall winner for demonstrating the greatest percentage growth in revenue across all the technology verticals.

The Connecticut Technology Council is a statewide association of technology oriented companies and institutions, providing leadership in areas of policy advocacy, community building and assistance for growing companies. Speaking for 2,500 companies that employ some 200,000 residents, the Connecticut Technology Council seeks to provide a strong and urgent voice in support of the creation of a culture of innovation.

 The Tech Top 40:

Advanced Manufacturing

• APS Technology Inc – Wallingford
• Bolt Technology Corporation – Norwalk
• Dymax Corporation – Torrington
• Revolution Lighting Technologies Inc. – Stamford
• Rogers Corporation – Rogers 

Energy/Environmental/Green Technology

• FuelCell Energy, Inc – Danbury
• Proton OnSite – Wallingford

 IT Services

• Cervalis LLC – Shelton
• Datto Inc. – Norwalk
• Gartner Inc. – Stamford
• Information Services Group Inc. – Stamford
• IT direct, LLC. – West Hartford
• VLink Inc. – South Windsor

Life Sciences

• Alexion Pharmaceuticals, Inc. – Cheshire
• Bio-Med Devices, Inc. – Guilford
• Metrum Research Group LLC. – Tariffville

 New Media/Internet/Telecom

• Chief Executive Group – Greenwich
• EasySeat, LLC – Plainville
• Frontier Communications – Stamford
• HealthPlanOne LLC – Shelton
• iSend, LLC – Middlebury
• Job Target, LLC – New London
• M2 Media Group – Stamford
• Priceline.com, Inc. – Norwalk
• Reality Interactive, LLC. – Middletown
• TVEyes Inc. – Fairfield

Software

• Clarity Software Solutions, Inc. – Madison
• Core Informatics, LLC – Branford
• Evariant, Inc. – Farmington
• Evolution1, Inc. – Simsbury
• Fitlinxx, Inc. – Shelton
• Higher One, Inc. – New Haven
• KenCast, Inc. – Norwalk
• Link Systems Inc. – Stamford
• Shoptech Corporation – Glastonbury
• Square 9 Softworks Inc. – New Haven
• SS&C Technologies Holdings Inc. – Windsor
• Tangoe Inc. – Orange
• TicketNetwork - South Windsor
• VRSim, Inc. – East Hartford

CT Ranked #1 in Exceeding Goal in Year One of Affordable Care Act

An analysis of how states fared in the inaugural year of the Affordable Care Act, based on targets for enrollment developed by the Obama Administration, shows that Connecticut leads the list. According to the analysis published by the Wall Street Journal using data from the Department of Health and Human Services, Connecticut ranked #1, attaining 140 percent of the sign-up goal.  The only other states that did better than expected were Rhode Island (137%), New Hampshire (112%) and Florida (106%).

Rounding out the top dozen states, based on their performance compared with expectations, were Maine (92%), Idaho (90%), North Carolina (87%), Wisconsin (77%), Delaware (76%), New York (70%), Virginia (70%), New Jersey (69%), Michigan (69%).

The Journal reported that the lessons learned in the first roll-out of the health care program will be utilized when the next enrollment period begins on November 15.  The newspaper noted that more than eight million people got private insurance for 2014 through the law's insurance exchanges, which were plagued with technical problems when they opened in October 2013 but stabilized toward the end of the six-month sign-up period.

The next enrollment period runs through February 2015, and it is expected that marketing campaigns will stress testimonials from real people, more emphasis on deadlines, and an increased focus on in-person help.  Individuals can sign up at the federal website, healthcare.gov, to receive updates, focused by individual states.

Connecticut’s official health insurance marketplace, Access Health CT, is reminding state residents that Enrollment in Medicaid (HUSKY) and the Children's Health Insurance Plan (CHIP) is open year round for eligible persons and families.

The website points out that individuals may also still be eligible to enroll in coverage throughout the year “if you or a member of your household has experienced a Special Enrollment Qualifying Life Event in the past 60 days or you will in the next 60 days.” Qualifying Life Events may include: child birth, adoption, death of a member of the household, marriage, loss of current health care coverage, loss or reduction in employer insurance contributions, new legal CT or U.S. residency, or U.S. lawful presence. Individuals that qualify may not need to wait until November to enroll, and can call 855-805-4325 for additional information.

Earlier this month, Access Health CT CEO Kevin Counihan took his Connecticut experience to Washington, accepting a position overseeing the federal health exchange.  Counihan joined the federal Centers for Medicare & Medicaid Services team as Marketplace Chief Executive Officer, where he will lead the federal Marketplace, manage relationships with state marketplaces and run the Center for Consumer Information and Insurance Oversight, which regulates health insurance at the federal level.  He'll be in position when the next enrollment period gets underway later this fall.

“We are proud of what we’ve accomplished here—we’re a national leader with more than 280,000 people enrolled in affordable health insurance,” said Lieutenant Governor Nancy Wyman, Chair of the Access Health CT Board.

At the other end of the spectrum, according to the analysis, the states that fared well below expectations were Massachusetts (-87%), Oregon (-71%), Kentucky (-62%), Nevada (-61%) and New Mexico (-61%).

In-Person Explanations of New Health Insurance Program Outperform Web, Phone

In an era increasingly dominated by technology, a new study has underscored the importance of person-to-person assistance in a critical realm:  health insurance for chronically underserved populations. Consumers found it easier to get and use information from in-person assistance, and rated information from in-person assistance significantly better compared to information from a telephone helpline or the website of Access Health CT, Connecticut’s health insurance marketplace. In-person assisters played a crucial role in enrolling hard-to-reach, underserved populations, according to a study conducted by the Community Alliance for Research and Engagement at the Yale School of Public Health for the Universal Health Care Foundation of Connecticut.

The evaluation examined the enrollment experiences of people from underserved urban areas of Connecticut, and sought to evaluate the outreach and enrollment process from the perspective of consumers and the in-person assisters and navigators who worked with them.  In-person assistance provided a critical service for consumers who were unable to navigate the helpline and website, the study found.

As trusted resources in the communities where they worked, assisters were clearly valued by their customers.  The study shows high rates of satisfaction overall with the enrollment process and emphasizes that in-person assistance was preferred by customers when they were asked to compare it to their interactions with the website or helpline.

Consumers mostly heard about AHCT through ‘word of mouth’ and ‘family and friends’.  Other sources of initial awareness, cited less frequently, were news programs, tv commercials, newspaper ads, library, internet and radio commercials. 

Satisfaction with the application and enrollment processes was high among survey participants. Ninety-five percent of respondents reported that the application and enrollment process was "definitely" or "somewhat" easy.  Twenty-nine percent reported some dissatisfaction with the amount of time required to enroll in a health plan.

The study found thta 90 percent would "definitely" recommend Access Health CT (AHCT), and an additional 9 percent would "probably" recommend AHCT.

During the open enrollment period of October 1, 2013, to March 31, 2014, the federal government was the major funder of in-person assistance, providing over $2.5 million in funding to the program.  The reported noted that “This level of funding is no longer available, yet, the need for assistance, both for the upcoming open enrollment period (November 15, 2014, to February 15, 2015) and beyond, is great.”  Plans for continuing in-person assistance, offered at store-front facilities, are under consideration according to published reports, with specifics uncertain.

Consumers most often wanted to learn about the cost of plans and the availability of financial assistance for insurance premiums. Of consumers who did not enroll, the most common reason was the need for more information, according to the study.

The report also noted that "because Connecticut is a national leader in the implementation of the US health insurance marketplace, the Connecticut experience may inform policy in other states and at the federal level."