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S197 would create statewide primary care payment pool, aim for 15% of spending on primary care
Summary
S197 directs the Department of Vermont Health Access to develop a primary care payment reform program with per‑member‑per‑month payments to practices, voluntary initially and mandatory by 2028, and sets a target to increase primary care spending to 15% of total health spending by 01/01/2029 without increasing overall spending.
Jennifer Carvey presented S197, a bill to establish a primary care payment reform program intended to shift more health‑care dollars into primary care without increasing total system spending.
Carvey said the program would be administered by the Department of Vermont Health Access, operating a payment pool that aggregates participating payer funds (commercial premiums, premium equivalents from other payers) and distributes risk‑adjusted…
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