All-Payer Model

Recent Posts

Green Mountain Care Board backs all-payer model

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 →

Filed under: , , , , , , ,

State, feds reach deal on all-payer model

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 →

Filed under: , , , , , , ,

Story + Podcast: Shumlin narrows focus in final months

Play

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 →

Filed under: , , , , , , ,

Shumlin headed to Washington to negotiate all-payer model

MONTPELIER — Vermont Gov. Peter Shumlin and his top health care team will meet with federal officials next week to continue negotiations on a major transformation in how health care is paid for in the state. Shumlin, a Democrat whose tenure in office will end in January after three terms, is seeking a transformational shift in the state’s health care system. He said at an unrelated news conference Wednesday that he and top aides will meet with U.S. Secretary of Health and Human Services Sylvia Burwell to help negotiations that have been ongoing for months. “One of the things I’m really focused on is getting this done before we’re done, and I know President Obama shares my goal in doing that,” the governor said. “I’m going to be meeting with the secretary next week. Continue Reading →

Filed under: , , , , , ,

Vermont proposes all-payer health care model

MONTPELIER — Vermont has taken the first step toward a radical change in the way health care providers are paid for their services. On Monday, state officials submitted a proposal to the federal government that would see doctors paid for the health outcomes of their patients, rather than for the services they provide. “I think anyone in the health care industry knows that fee-for-service results in duplication and inefficiency,” said Gov. Peter Shumlin, a statement he has made in one form or another during his five years in office. Rather than pay for every visit to the doctor’s office or every test a patient takes, the proposed all-payer model would allow Medicare, Medicaid and private insurers to pay health care providers based upon the heath outcomes of their patients. The Shumlin Administration submitted its proposal Monday to the federal Centers for Medicare and Medicaid Services, seeking permission to employ an all-payer model in Vermont for five years, beginning in January 2017 and continuing through December 2021. Continue Reading →

Filed under: , , , , , , ,