Vermont running out of time for all-payer deal with federal government

January 12, 2016

Vermont lawmakers are waiting for the Green Mountain Care Board's draft deal with the federal government to overhaul Vermont's healthcare business, VT Digger reports. The deal was expected in 2015, and then it was pushed back to the first half of this month. Now, lawmakers who must scrutinize the agreement as part of their oversight responsibility are candid about how little they know about the deal. Al Gobeille, the chairman of the regulatory board that is working out the so-called all-payer waiver, is now working with regulators to model a new payment model for the ACO after a similar version that Medicare has been using for years. He wants to use incentives to get doctors and hospitals to sign up for the ACO rather than penalize providers that don't.
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