State Government

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Green Mountain Care Board backs all-payer model

Al Gobeille, right, discusses the all-payer model. (File photo)

MONTPELIER — The Green Mountain Care Board on Wednesday voted to advance a draft agreement with the federal government that seeks to transform the way health care providers are paid in Vermont, paving the way for the state and federal government to begin implementation. Gov. Peter Shumlin and his top health care officials negotiated for nearly two years with the federal government on the so-called all-payer model. It will be based on the Accountable Care Organization model — groups of doctors, hospitals and other health care providers that come together to provide coordinated care. The concept is intended to provide better information about a patient’s medical history among providers. The all-payer model includes private insurance as well as government programs like Medicaid and Medicare as payers. Continue Reading →

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JFO: All-payer health care model has risks


MONTPELIER — Several risks and concerns have been raised at recent meetings and hearings about the health care payment reform plan sought by Gov. Peter Shumlin, according to the Legislature’s Joint Fiscal Office. Shumlin, who will leave office in early January, is seeking to transform the state’s health care payment system from the current fee-for-service, where providers are paid for each service or procedure they perform, to one where providers are paid for based on health outcomes. The Shumlin administration has negotiated with the federal government for about two years and has a draft agreement in place. The Green Mountain Care Board, the state’s heath care regulatory body, may vote on the draft agreement as early as Thursday. That would set the stage for Shumlin and the federal government to sign the agreement. Continue Reading →

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House GOP seeks shorter session, narrow focus on fiscal issues

Rep. Linda Myers, R-Essex Jct., leaves the podium after speaking at a House GOP news conference highlighting the caucus' electoral and legislative goals. (Times Argus/Stefan  Hard)

MONTPELIER — Vermont House Republicans say they are gunning for a substantial pick up of seats and will be pursuing a two-year state budget process and a complete focus on fiscal issues rather than new policies. More than two dozen House Republicans and Republican candidates gathered for a State House news conference Tuesday to highlight their goals for the upcoming general election and legislative biennium. House Minority Leader Don Turner, of Milton, said he hopes to lead the House in a new direction after the election. “It’s time for a new direction and a new way of thinking in Vermont. I want to lead that change in the House and I want to be looking for support from all the Republican colleagues, across party lines — independents and Democrats — because I believe that we cannot sustain this pace of heavy spending and recklessly taxing Vermonters to no end,” Turner told reporters. Continue Reading →

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State, feds reach deal on all-payer model

Green Mountain Care Board Chairman Al Gobeille, second from left, and Gov. Peter Shumlin, second from right, discuss the terms of an agreement with the federal government to transform the way the state pays for health care. (VPB/Neal Goswami)

MONTPELIER — Vermont has reached a deal with the federal government to move forward with a plan to overhaul the way health care is paid for in Vermont by basing payments to providers on the quality of health outcomes rather than the volume of services they provide, Gov. Peter Shumlin announced Wednesday. Shumlin, a Democrat whose tenure in office will end in January after three terms, has been seeking the transformational shift in the state’s health care payment system for more than two years. Negotiations with the federal government have resulted in a draft agreement that will now be presented to the public for review before the state and federal government sign off on it. “We have now a draft agreement from the federal government that will allow us to take on a challenge that I believe effects the pocketbooks of every single Vermonter,” Shumlin told reporters at a news conference Wednesday. “This is probably the single thing that hurts Vermonters the most economically. Continue Reading →

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Minter outlines tax policy


MONTPELIER — Democratic gubernatorial nominee Sue Minter says she will seek tax fairness as governor and look to lower the burden on low- and middle-income Vermonters by closing loopholes enjoyed by the wealthy and corporations. According to Minter, the tax policies she will propose as governor may incorporate some elements of the Blue Ribbon Tax Structure Commission report released in 2011. The report, which was shelved by policymakers in Montpelier, recommended expanding the sales tax to “all consumer-purchased services with limited exceptions for certain health and education services and business to business service transactions.”

Minter expressed an interest in dusting off the commission’s report during a WDEV radio debate on Sept. 14, saying she would look at expanding the base of the sales tax to include services. Her Republican opponent, Lt. Gov. Phil Scott and the Vermont Republican Party pounced, announcing to Vermonters in a coordinated effort that Minter wants to tax hair cuts, among other services that Vermonters pay for. Continue Reading →

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Top Shumlin administration official heading to lobbying firm

Secretary of Administration Justin Johnson

MONTPELIER — Outgoing Gov. Peter Shumlin’s top administration official is leaving state government at the end of the month to join a Montpelier-based lobbying firm. According to the administration, Secretary of Administration Justin Johnson will leave his government post on Sept. 30. He will join MMR, Inc., to head up a new division that focuses on international projects, particularly climate change initiatives, according to MMR. Johnson’s position will focus on helping governments meet their goals and obligations under the Paris climate accord that has been signed by more than 170 countries. “We are excited to help facilitate the critical conversations between business and government
that will be so important to meeting regional, national, and international climate change goals,” MMR President Andrew MacLean said in a statement. Continue Reading →

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Gubernatorial candidates take on women’s issues

Candidates for governor share a moment of levity during a forum — co-sponsored by the League of Women Voters of Vermont, the Vermont Commission on Women and Vermont Federation of Business and Professional Women — at the State House in Montpelier on Thursday. From left are Liberty Union candidate Bill Lee, Democratic candidate Sue Minter and Republican candidate Phil Scott. (Times Argus/Jeb Wallace-Brodeur)

MONTPELIER — All three candidates for governor shared a table for the first time Thursday at a State House forum sponsored by the Vermont Commission on Women focused on issues important to women. It was the first time in the general election campaign that Democrat Sue Minter, Republican Phil Scott and Liberty Union candidate Bill Lee all appeared together. Scott has made it a condition that Lee be invited to all forums and debates, and he skipped the traditional debate on WDEV last week because Lee was not invited. Scott’s presence was noted by Minter. “I’m glad I don’t have to again debate an empty chair. Continue Reading →

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Story + Podcast: Shumlin narrows focus in final months

Gov. Peter Shumlin

Listen: Capital Beat Podcast with Gov. Peter Shumlin

MONTPELIER — With just three months left in office, Democratic Gov. Peter Shumlin says he plans to push hard to complete a handful of projects before his successor is sworn into office in early January — including an overhaul of how the state pays for health care services. Shumlin, who is not seeking re-election after his third term expires, reflected in an interview about his time in office and pledged to continue his work until his final day as governor. “This is the best job that anyone can ask for, being governor of Vermont. It’s been an extraordinary privilege. One thing that governors do every day is focus on what they were elected to do, which is to grow prosperity, grow jobs, make sure our state remains the best place to live and work and raise a family. Continue Reading →

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Scott releases economic plan, seeks tax cuts and credits

Lt. Gov. Phil Scott, the Republican nominee for governor, discusses his economic plan at Firetech Sprinkler in Colchester. (VPB/Neal Goswami)

COLCHESTER — Lt. Gov. Phil Scott, the Republican nominee for governor, released an economic plan Thursday that he says will focus on major fiscal issues and lead to a more vibrant economy. Scott, who co-owns Dubois Construction with a cousin, released the plan at a news conference at Firetech Sprinkler, saying it will lead to job creation and help lift wages for Vermonters. He chose to hold the press conference Thursday morning rather than attend a debate hosted by WDEV radio at the Tunbridge World’s Fair with his Democratic opponent, Sue Minter. “As a small business owner myself, I put my faith in the skills, work ethic and ingenuity of working Vermonters every single day. That’s why Vermonters can count on me to lead a state government that leverages our talented work force and our commitment to hard work and innovation,” he said. Continue Reading →

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Blue Cross Blue Shield: Vermont Health Connect owes $6.2 million


MONTPELIER — Blue Cross Blue Shield of Vermont is seeking $6.2 million from the state for premiums the insurer did not receive and claims it paid out after the state had terminated individual insurance plans, according to the company and state officials. BCBS and the state are engaged in a reconciliation process to settle the books for health insurance plans sold on Vermont Health Connect, the state’s online health insurance exchange, during 2015. It is the second year that reconciliation is taking place. The state paid $1.6 million to settle the book of business in 2014. A public records request made by the Vermont Press Bureau seeking documents related to the 2015 reconciliation process was returned by the Department of Vermont Health Access, but all 125 pages had all relevant information related to the request redacted. Continue Reading →

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