For decades, Connecticut and other states have used a fee-for-service model to pay for health care: the provider bills for each service, every consult, every procedure, every test, every pill. State Comptroller Kevin Lembo and many others have come to view that system as seriously flawed. It not only contributes to skyrocketing medical costs but also fails to deliver optimum care, Lembo said. “The incentives in that model are problematic,” Assistant Comptroller Josh Wojcik said. “It incentivizes volume.
The legislative session began with Democratic lawmakers, advocates and state Comptroller Kevin Lembo all confident that a series of long-sought big ticket health care reforms — including a public option for small businesses — were finally within reach. When the session ended at midnight Wednesday, however, virtually their entire agenda had failed to pass, with several major initiatives dying in the final hours. It was a bitter pill for health care proponents, particularly the death of the public option. In the end, the state’s powerful insurance and hospital interests proved too big an obstacle to overcome, advocates said. As of May 10, the most recent date for which records are available, the biggest and most powerful among them had spent nearly $3 million on lobbying during the session, including $480,079 by the Connecticut Hospital Association and $191,021 by Yale New Haven Hospital.