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Senate advances primary care payment reform bill to align insurer payments and boost primary care
Summary
S.197 would require insurers to share cost data, establish per-member-per-month payment modeling for primary care, expand workforce incentives and require notice when insurers drop drugs. Senators described the Blueprint for Health as the model and scheduled multiple reports for 2027.
The Vermont Senate considered S.197 on March 24, a bill designed to reform how primary care is paid in the state by requiring insurer data sharing and creating a per-member-per-month payment model. Senator Lyons (Chittenden), reporting for the Committee on Health and Welfare, said the bill builds on Vermont’s Blueprint for Health and aims to reduce administrative burden and stabilize primary care practices.
Lyons told the chamber that primary care yields strong returns on investment: "Every dollar saves us $13," she said on the floor, framing prevention and primary-care…
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