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Panel adjusts hospital reimbursement cap language, asks board and hospitals to reconcile estimates
Summary
Legislative counsel outlined a replacement section for S.190 that would change the benchmark used to cap insurer hospital reimbursements and lower the cap from 250% to 225% of that benchmark; the Green Mountain Care Board and hospital officials were asked to reconcile differing cost estimates before the language is finalized.
The committee reviewed proposed replacement language for S.190 that would change the definition used to cap insurer reimbursements to hospitals and adjust the cap percentage. The draft replaces a uniform "Medicare adjusted base rate" benchmark with an "actual hospital‑specific Medicare reimbursement rate" and lowers the cap from 250% to 225% of that rate.
Emily Brown, executive director of the Green Mountain Care Board, warned that using…
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