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Senate amends S-190 to require reference-based hospital pricing, limit QHP payments to 250% of Medicare
Summary
The Vermont Senate amended S-190 to require hospitals to express prices as percentages of Medicare, cap qualified health plan reimbursements at up to 250% of Medicare, and create a working group to study critical access hospital Medicare cost-sharing; the Legislature ordered third reading after committee amendments.
The Vermont Senate amended S-190 on reference-based pricing, directing hospitals to express publicly their prices as percentages of Medicare rates and limiting reimbursements from qualified health plans (QHPs) to up to 250% of Medicare. The amendment package, carried after committee debate, also creates a Green Mountain Care Board working group to study how Medicare beneficiary cost-sharing affects small "critical access" hospitals and to recommend mitigations.
The Health and Welfare committee's reporter told the chamber the bill "adds the 250% of Medicare for hospital payments, but only for qualified health plans," and said…
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