Green Mountain Care Board

Feds won’t let Vermont have Medicare cash; seniors’ need for gap coverage under single-payer unknown


Gov. Peter Shumlin has said he wants a true single-payer system that covers all Vermonters, including seniors on Medicare, but the framework that would have rolled Medicare into Green Mountain Care is not an option, according to health officials.

Medicare repayments won’t impact hospital services, but will hurt bottom lines

Central Vermont Medical Center's Emergency Room. Photo by Roger Crowley/for VTDigger

The repayments are the result of Medicare enforcing a 2012 policy change that many hospital executives say was unexpected. The policy change has been applied retroactively to 2010.

Lt. Gov. Scott calls for central board to regulate school costs

Lt. Gov. Phil Scott at the governor's budget address on Jan. 15, 2014. Photo by Roger Crowley/for VTDigger

Scott says an education board similar to the Green Mountain Care Board could help keep school costs under control. His opponent, Dean Corren, says that would only create more government bureaucracy.

Low reimbursements threaten Blueprint for Health despite promising results

A nurse bandages a patient at Central Vermont Medical Center

The state’s Blueprint for Health program is reducing health care costs by strengthening preventive care; but low payment rates could mean trouble for Blueprint in the near future. Lawmakers are considering raising those rates, but acknowledge it will be difficult in the current budget climate.

Shumlin appoints economist to Green Mountain Care Board

Gov. Peter Shumlin has appointed Middlebury College economics professor Jessica Holmes to the Green Mountain Care Board, his administration announced Wednesday The five-member board was created by the Legislature in 2011. It has broad authority to set payments for health care services, and currently sets rates for commercial health insurance products and the rate of […]

New report examines medical service price variation

A Fletcher Allen doctor watches during the health care bill signing. VTD/Taylor Dobbs

Prices that Vermont’s 14 hospitals and Dartmouth-Hitchcock Medical Center in New Hampshire receive from commercial insurers vary by between 72 percent and 132 percent of the average.

Green Mountain Care Board public meetings in October

The Green Mountain Care Board (GMCB) will hold the following public meetings in October:

State lawmakers raise concerns over single-payer implementation

Robin Lunge thumb

Vermont lawmakers, the Shumlin administration and the Green Mountain Care Board will develop a financing plan and benefits package for the state’s single-payer health care program over the next two years. But Act 48 doesn’t spell out which should come first.

Fletcher Allen seeks approval for $175M inpatient facility

Architect's drawing shows Fletcher Allen Health Care's proposed inpatient facility. Courtesy of Fletcher Allen

The hospital has applied to the Green Mountain Care Board for a certificate of need allowing construction of a proposed 180,000-square-foot building that would include 128 single-occupancy rooms.

Don George: Doing the math on cost-shifting

The current health care system unfairly burdens Vermont businesses and individuals who pay health insurance premiums by requiring them to subsidize the services that government programs (Medicaid and Medicare) provide but don’t fully pay for.

Consumer advocate critical of new quality standards for Accountable Care Organizations

New Health Care

Office of the Health Care Advocate says Green Mountain Care Board “lowered the bar” on quality standards for shared-savings network providers.

Hospital budgets approved virtually unscathed by board

The entrance to Central Vermont Medical Center in Berlin. Photo by Roger Crowley/for VTDigger

Green Mountain Care Board OKs overall 3.1 percent increase after review of the state’s 14 hospital budgets. The only cuts come from Springfield.

Fletcher Allen Partners to discontinue debt strategy

Aerial view of the Fletcher Allen Health Care campus. Photo courtesy of FAHC.

A nurses’ union representative pointed out the hospital group’s practice of using “interest rate swaps” for borrowing during a Green Mountain Care Board hearing.

Regulators approve eight proposed hospital budgets

Central Vermont Medical Center's Emergency Room. Photo by Roger Crowley/for VTDigger

The Green Mountain Care Board voted unanimously to OK eight budgets without making adjustments to spending plans submitted by hospital managers in July. Six others to receive further scrutiny.

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