Connecticut was one of 41 states to earn a failing grade for lacking public information about the quality of care provided by physicians. Experts agree that consumers should be able to easily find out if their primary care physician is delivering good quality care; Connecticut does not currently have any public reporting of physician quality. The quality of care report scored states based on a number of factors, including the number of doctors rated, whether the ratings included information about clinical outcomes and consumer experiences, and the how easily consumers could access information online-all necessary for patients to make informed decisions when comparing physician networks and health plans.
Connecticut has taken steps towards providing this information for consumers. The All-Payer Claims Database (APCD) is currently under construction, as are other health care delivery and payment reforms which are expected to aid in establishing performance, quality, and cost transparency. Some critics state that assessing a provider’s performance is particularly challenging because quality of care is “in the eye of the beholder.” Often times, numbers do not explain the criteria used to determine quality, nor do they reflect limitations set by health plans. The state also has a plan in place called the Connecticut Healthcare Innovation Plan which calls for the formation of a common performance scorecard for providers, and will give some insight into provider quality and performance. Data for the plan will be collected from medical, dental, and pharmacy claims from commercial insurers and public insurers like Medicare and Medicaid.
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