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State auditor: Blueprint reports show data gaps and do not prove net savings as Bill 197 advances
Summary
Deputy State Auditor Jonathan Kingston told a legislative committee that audits of Blueprint and alternative‑payment experiments show reporting problems, that cost differences presented by Blueprint do not establish causation, and that further evaluation is needed before expanding the program under Bill 197.
Deputy State Auditor Jonathan Kingston told legislators on April 8 that recent audits of Vermont’s Blueprint program and alternative‑payment models show the programs are not being evaluated in a way that proves they produce net savings.
Kingston, who led the presentation of two audits and a separate Blueprint review, said the audits found cases in which targets and reported cost differences are misleading without additional analysis. "What we saw was data, but we don't know why the delta," he said, warning that reported per‑member cost differences should not be interpreted as proof that Blueprint caused savings.
The presentation matters because Bill 197 includes provisions related to Blueprint and primary care spending. Kingston said the audits were intended to give legislators objective information to weigh policy choices and to caution against adopting program expansions without clearer evaluation of impact and implementation costs.
The auditor outlined two findings from earlier reviews of alternative‑payment models: the Green Mountain Care Board had not…
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