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Vermont Health First director: small practices opt out of Blueprint over costs, EHR and admin burden

House Health Care Committee · April 24, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Susan Ritson, executive director of Vermont Health First, told the committee that most clinician-owned practices participate in Blueprint, but very small practices (1–2 providers) often find per-member payments and certification/reporting costs too high and that EHR requirements and administrative complexity can be barriers to participation.

Susan Ritson, executive director of Vermont Health First, told the House Health Care Committee on April 24 that the majority of independent practices participate in the state’s Blueprint for Health program, but a small subset of very small practices opt out because the per-member-per-month payments and certification requirements do not cover their administrative costs.

For the practices that decline participation, Ritson said common characteristics include…

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