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Vermont Medical Society presses committee to shore up 2026 primary‑care funding and set up alternative payment program
Summary
The Vermont Medical Society urged the Health & Welfare Committee to address an expected 2026 funding gap for primary care and to require the Agency of Human Services to develop a per‑member‑per‑month payment and an all‑payer alternative payment model by 2027 to sustain independent primary care practices.
Jessa Barnard, executive director of the Vermont Medical Society, told the Health & Welfare Committee that primary care in Vermont faces a funding cliff in 2026 unless lawmakers act to preserve current payment levels and build a durable alternative payment infrastructure.
Barnard said a set of existing payments that support independent primary care — including Blueprint and ACO payments — lack a secure funding source beyond 2025 for many practices. She urged the committee to include language in its bill directing the Agency of Human Services to develop, by Jan. 1, 2026, a per‑member‑per‑month (PMPM) payment rate and distribution methodology…
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