Vermont: Single Payer Healthcare System by 2017
As Vermont lawmakers start their annual budget-making process, the Green Mountain Care Board (GMCB) has outlined its second year of work as it helps guide the state towards a publicly-financed single payer healthcare system by 2017.
In addition to regulating commercial insurance rates and community hospital budgets, the independent advisory board is overseeing several payment and delivery models for Medicare, Medicaid and commercial payers going into 2015, as some of the plans for the single-payer transition (including the health insurance exchange) are still being designed.
With a five-member board and a staff of 16, the GMCB has pending proposals with Centers for Medicare & Medicaid Services (CMS) to test several payment models based around shared savings accountable care organizations, bundled payments and pay-for-performance.
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