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DVHA, Green Mountain Care Board outline payment-reform options; committee requests written detail
Summary
A Department of Vermont Health Access official and Green Mountain Care Board chair told senators the state is exploring reference-based pricing, fixed prospective payments and hospital global budgets; DVHA requested clearer statutory authority language and offered to provide more detailed written recommendations.
Department of Vermont Health Access and Agency of Human Services officials told the Senate Health & Welfare Committee on Feb. 20 they support exploring payment reforms that could align public and commercial payers, but they asked for clearer statutory authority for Medicaid rate-setting and implementation.
Alicia Cooper, director of payment reform at the Department of Vermont Health Access, told the committee the Medicaid program has used Medicare benchmarking and reference-based approaches for more than a decade and has piloted…
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