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Insurance firm Sigma urges voluntary approach to Vermont health-care "blueprint," warns of legal risk for self-insured plans
Summary
Margaret Reynolds of Sigma told the committee that Sigma supports value-based primary-care investment but raised concerns that mandatory assessment language in SB197 could create ERISA preemption and legal uncertainty for self-insured employers; she urged voluntary participation and offered follow-up data.
Margaret Reynolds, representing Sigma, testified to the committee about Senate Bill 197 and broader payment-model questions related to Vermont’s primary-care "blueprint."
Reynolds said Sigma covers roughly 80,000 lives across large-group and self-insured markets and that the company already uses value-based care incentives — for example, zero co-pays for preventive screenings and payment mechanisms that reward chronic-disease management and care coordination. "We certainly encourage investment in primary care…
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