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Committee hears $7.7M gap request for ACO/per‑member payments tied to UVM settlement
Summary
Committee members were told a $7.7 million request is intended as bridge funding for per‑member per‑month primary care alternative payments after UVM settlement funds end; members asked whether the listed amounts are general fund and how the payment stream will be sustained.
Committee members reviewed a $7.7 million request described as funding a per‑member‑per‑month population health payment reform and as bridge funding tied to UVM Health Network settlement proceeds.
Speaker 1 summarized that settlement funds from UVM were used last year and that without the $7.7 million, "there will be no per member per month payments" for the year ahead. Members asked whether the request is all general fund; staff replied the notes show approximately $5.95 million general fund for population health and $1.75 million for payment reform.
Questions focused on whether the committee truly has a choice if primary care practices lose this payment stream and on how the proposed rural health transformation program interacts with these payments. Administration representatives said some transformation funds are separately allocated and cannot be used to backfill this per‑member payment gap.
The committee requested clearer documentation on the funding mix and whether alternative federal or settlement sources could be used before endorsing a general‑fund backup.
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