VIA Proposes Major Payment Reductions Amid Federal Funding Cuts

The Mitchell County Board of Commissioners meeting held on September 2, 2025, focused on significant changes to healthcare funding and its implications for local providers and residents. The meeting addressed the impact of federal cuts on managed care plans and the adjustments that would follow.

One of the primary topics discussed was the proposed reduction in payments to healthcare providers, which is estimated to be around $70 million. This reduction is a direct result of changes in capitation rates that will affect managed care plans. Additionally, the administrative funding for the Virginia Integrated Agency (VIA) is expected to decrease by approximately $7 million. These cuts are part of a broader strategy to manage the financial implications of federal funding reductions.

The meeting also highlighted the potential elimination of the Healthy Opportunities Pilot program, which aims to provide essential services to improve health outcomes. This decision could have a substantial impact on community health initiatives and access to care for vulnerable populations.

Commissioners expressed concern over the high costs of certain medications, with some treatments reportedly costing around $800 per shot. The discussions emphasized the need for careful planning to ensure that residents do not lose necessary coverage as these changes take effect.

Overall, the meeting underscored the significant challenges facing healthcare funding in Mitchell County and the urgent need for strategies to mitigate the effects of federal cuts on local health services. The board plans to continue exploring options to support residents and maintain healthcare access in the community.