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Green Mountain Care Board signals move to monthly reporting, differentiated hospital benchmarks and transition to reference-based pricing
Summary
Green Mountain Care Board staff told the House Committee on Health Care the board will publish earlier draft guidance, require more frequent (monthly) financial reporting from hospitals and shift from a one-size benchmark to benchmarks that vary by hospital type as it prepares to implement reference-based pricing under Act 68 by fiscal 2027.
Matt Sutter of the Green Mountain Care Board told the House Committee on Health Care on Jan. 16 that the board is changing how it reviews hospital budgets to make oversight more timely and tailored to different hospital types.
"Hospital spending is ... a major driver of health care spending in Vermont, and it's increasing," Sutter told the committee as he reviewed the board's statutory objectives and the history of hospital budget review in the state. He said the GMC plans to publish a draft guidance earlier this year so stakeholders can review it before the board adopts guidance in March.
Sutter described operational changes the GMC has made or is planning: moving from quarterly to monthly financial reporting through the…
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