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Lawmakers question incentives tied to heavy use of contract nurses as rebasing raises rates
Summary
Committee members were told Vermont nursing homes use contracted travelers at much higher rates than national averages and that rate "rebasing" now being applied to 2023 costs may have raised allowed rates, creating concerns about incentives to rely on contractors.
Lawmakers pressed department officials on whether current rate-setting rules unintentionally reward facilities that rely heavily on contracted nurses.
Jamie Mooney, director of the Division of Rate Setting at the Department of Vermont Health Access, told the committee contracted-traveler use varies widely across the state—ranging from nearly 0% at some facilities to 70.76% at another. She said 11 of 33 facilities had traveler shares above 40% and five facilities had contracted travelers that outnumber…
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