Tag Archives: Vermont

The All-Payer Accountable Care Organization Model: An Opportunity For Vermont And An Exemplar For The Nation

The first of its kind in the nation, the all-payer ACO model allows Vermont the opportunity to create a transformative payment model that moves all payers (Medicare, Medicaid, and commercial) towards a prospective, value-based reimbursement system.

November 22, 2016

The Consequences Of Gobeille v. Liberty Mutual For Health Care Cost Control

The Supreme Court’s Gobeille decision invalidated state all-payer claims database reporting requirements for self-funded employee health plans. What are the implications for state and federal health care cost control efforts and how may states access data from self-insured plans moving forward?

March 10, 2016

After Gobeille: Can Federal Regulators Save All-Payer Claims Databases?

The decision raises issues regarding the future of all-payer claims databases and how states interested in collecting claims data, such as Vermont, should proceed.

March 10, 2016

New Section 1332 Guidance A Mixed Bag For States

In December, HHS and Treasury released new guidance on how the agencies will evaluate state applications for the ACA’s Section 1332 State Innovation Waivers. For states, it turned out to be a classic example of “be careful what you wish for,” as the the new guidance considerably limits their...

February 29, 2016

Not Your Usual Suspects: Roles For State Agencies In PCMH Payment Reforms

State insurance departments, State Employee Benefits, and Public Health departments and agencies in collaboration with Medicaid, private payers, and other stakeholders have undertaken significant roles to strengthen multipayer PCMH efforts.

December 8, 2015