Al Gobeille

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State officials: GOP health plan could have dire consequences

MONTPELIER — Vermont’s top health care officials on Friday detailed dire consequences, including the loss of as much as $200 million in annual federal funding, if the Republican health care plan proposed in Congress is enacted. Agency of Human Services Secretary Al Gobeille, along with Department of Vermont Health Access Commissioner Cory Gustafson and Director of Health Care Reform Mary Kate Mohlman briefed reporters on the impact the American Health Care Act, or Trumpcare, as some have taken to calling it, will have on Vermonters. Gobeille said the trio were not advocating for or against the proposal, but they had few positive points to make about the GOP proposal. President Donald Trump and Republicans in Congress campaigned heavily in last fall’s election on repealing the Affordable Care Act, or Obamacare. The plan introduced earlier this week by Republicans in Congress seeks to do that. Continue Reading →

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Scott administration concerned with GOP health care bill in Washington

MONTPELIER — Vermont’s top health care official says the Scott administration is working quickly to assess the impact a GOP health care plan in Washington would have on the state if enacted. Agency of Human Services Secretary Al Gobeille said his team is reviewing the Republican plan to replace the Affordable Care Act, widely known as Obamacare. At first glance, Gobeille said, the plan could have significant negative impacts on Vermonters. After years of failed attempts to repeal and replace Obamacare during former Democratic President Barack Obama’s tenure, the GOP now controls both chambers in Congress and the presidency. President Donald Trump and Republicans in Congress campaigned on dumping the sweeping health care reform law Democrats enacted early in Obama’s presidency, and now the GOP has put forth a plan to do so. Continue Reading →

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Scott announces two cabinet posts, staff positions

MONTPELIER — Gov.-elect Phil Scott announced two major appointments to his cabinet Tuesday, naming current Deputy Attorney General Susanne Young as his secretary of the Agency of Administration and Green Mountain Care Board Chairman Al Gobeille as secretary of the Agency of Human Services. Scott, a Republican who defeated Democrat Sue Minter last month to become the state’s 82nd governor, announced the two cabinet-level appointments along with a trio of staff who will work in the governor’s office when Scott is sworn in early next month in a news release Tuesday afternoon. “Susanne and Al are both accomplished and highly respected leaders who share my focus on making Vermont’s economy stronger and our state more affordable for businesses and families,” Scott said in a statement. “Together, they will be a strong and dynamic team, working together to modernize state government, put our state budget on a more sustainable path and move our healthcare priorities forward.”

Young, 60, will become, will become one of the most influential people in state government. The Agency of Administration oversees most aspects of state government, including development of the state budget. Continue Reading →

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Green Mountain Care Board backs all-payer model

MONTPELIER — The Green Mountain Care Board on Wednesday voted to advance a draft agreement with the federal government that seeks to transform the way health care providers are paid in Vermont, paving the way for the state and federal government to begin implementation. Gov. Peter Shumlin and his top health care officials negotiated for nearly two years with the federal government on the so-called all-payer model. It will be based on the Accountable Care Organization model — groups of doctors, hospitals and other health care providers that come together to provide coordinated care. The concept is intended to provide better information about a patient’s medical history among providers. The all-payer model includes private insurance as well as government programs like Medicaid and Medicare as payers. Continue Reading →

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State, feds reach deal on all-payer model

MONTPELIER — Vermont has reached a deal with the federal government to move forward with a plan to overhaul the way health care is paid for in Vermont by basing payments to providers on the quality of health outcomes rather than the volume of services they provide, Gov. Peter Shumlin announced Wednesday. Shumlin, a Democrat whose tenure in office will end in January after three terms, has been seeking the transformational shift in the state’s health care payment system for more than two years. Negotiations with the federal government have resulted in a draft agreement that will now be presented to the public for review before the state and federal government sign off on it. “We have now a draft agreement from the federal government that will allow us to take on a challenge that I believe effects the pocketbooks of every single Vermonter,” Shumlin told reporters at a news conference Wednesday. “This is probably the single thing that hurts Vermonters the most economically. Continue Reading →

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Republicans call for assessment of Vermont Heath Connect

MONTPELIER — Vermont’s top republicans are calling for an independent assessment of Vermont Health Connect to determine if it’s worth keeping. On Friday, Lt. Gov. Phil Scott, Senate Minority Leader Joe Benning and House Minority Leader Don Turner called for the Green Mountain Care Board to conduct an assessment of the state’s beleaguered health care exchange. “If you find yourself in a hole, stop digging,” said Scott, whose remarks follow testimony offered earlier this week to the House Health Care Committee from Garton Consulting, which recommended an independent assessment. Sen. Benning, R-Caledonia, reviewed a two-year time line of blown deadlines, cost overruns and lack of functionality for Vermont Health Connect. “Vermonters have suffered a long history of broken promises and missed deadlines on this frustrating path to affordable and dependable health care,” Benning said. Continue Reading →

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Vermont proposes all-payer health care model

MONTPELIER — Vermont has taken the first step toward a radical change in the way health care providers are paid for their services. On Monday, state officials submitted a proposal to the federal government that would see doctors paid for the health outcomes of their patients, rather than for the services they provide. “I think anyone in the health care industry knows that fee-for-service results in duplication and inefficiency,” said Gov. Peter Shumlin, a statement he has made in one form or another during his five years in office. Rather than pay for every visit to the doctor’s office or every test a patient takes, the proposed all-payer model would allow Medicare, Medicaid and private insurers to pay health care providers based upon the heath outcomes of their patients. The Shumlin Administration submitted its proposal Monday to the federal Centers for Medicare and Medicaid Services, seeking permission to employ an all-payer model in Vermont for five years, beginning in January 2017 and continuing through December 2021. Continue Reading →

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House lawmakers get refresher course on the all-payer model

MONTPELIER — A group of lawmakers in the House were given a refresher course Wednesday on the state’s efforts to reform the state’s health care payment system, and were assured that Medicare benefits will not be changed as part of that process. Green Mountain Care Board Chairman Al Gobeille walked the House Committees on Health Care and Human Services through the efforts to nix the current fee-for-service model in favor of an all-payer model. The Shumlin administration is working with the GMCB, the state’s health care regulatory body, to negotiate terms with the federal government on what the new model will look like. Under the current system, health care providers are paid for each medical service they provide. That means doctors are incentivized to order more tests and procedures in order to get paid more. Continue Reading →

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Shumlin admin to offer all-payer waiver request by end of June

MONTPELIER — Gov. Peter Shumlin says the state’s preliminary application for an all-payer waiver to level reimbursements to health care providers among all payers will be submitted by the end of June. A universal, publicly-financed health care system is off the table. And Shumlin’s grand plan to pump additional funds into Medicaid through a $90 million payroll tax was ignored by lawmakers. But the administration has been making steady progress on another major reform in health care — changing the payment structure. An all-payer waiver will allow the state to move forward with an ambitious plan to eliminate the current fee-for-service payment model that pays providers for each procedure and replace it with a system that pays providers on the quality of care they provide and the health outcomes of their patients. Continue Reading →

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