Cory Gustafson

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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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State to pay Blue Cross $3.5 million to settle billing discrepancies

MONTPELIER — State officials have agreed to pay Blue Cross Blue Shield of Vermont $3.5 million to close out the insurer’s line of business through the state’s online insurance marketplace in 2015. The additional payment to Blue Cross comes after a months-long reconciliation process that was required to help settle discrepancies within the billing and enrollment system of Vermont Health Connect, the state’s online health insurance exchange set up through the federal Affordable Care Act. The agreement between the state and Blue Cross was finalized late last year by the administration of former Democratic Gov. Peter Shumlin, who left office last week as Republican Gov. Phil Scott was sworn in. Cory Gustafson, Scott’s Department of Vermont Health Access commissioner, confirmed the $3.5 million settlement Thursday. Gustafson worked as the director of government and public relations for Blue Cross at the time of the settlement before being tapped to served in Scott’s administration. Continue Reading →

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Blue Cross seeks millions from Vermont Health Connect

MONTPELIER — Blue Cross Blue Shield of Vermont believes it is owed more than $5 million from Vermont Health Connect for unpaid insurance premiums and claims paid on plans that were terminated by the state in 2015. The insurance carrier is going through a reconciliation process with the state for the second straight year to settle its books for plans it sold through the state’s online health insurance marketplace. For plans sold in 2014, the state paid BCBS $1.6 million after the reconciliation process was complete. BCBS told state officials last month that it believes as much as $3.8 million is owed for unpaid premiums in 2015. Additionally, another $2.3 million is owed on claims it paid out for plans that were terminated by the state but not communicated to the company, according to Cory Gustafson, director of government and public relations at BCBS. Continue Reading →

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Exchange Backlog Returns Due To New Technical Problems

ast October, Gov. Peter Shumlin said his administration had finally eliminated the customer-service bottleneck that had long plagued Vermont Health Connect. The change-of-circumstance backlog has since returned, however, and the setback has further eroded confidence in the future of the online insurance exchange. On Oct. 1 of last year, Gov. Peter Shumlin summoned reporters to the Statehouse to celebrate a Vermont Health Connect milestone. Shumlin said his team had finally worked through the backlog of people waiting to have changes made to their policies. Continue Reading →

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