Department of Vermont Health Access

Recent Posts

Lawmakers approve budget rescission plans

MONTPELIER — The Legislature’s Joint Fiscal Committee has unanimously backed a plan presented by the Scott administration to reduce General Fund spending in the 2018 fiscal year budget by $12.6 million. The panel of House and Senate members met Thursday to review the plan, which was necessitated by a revenue downgrade issued last month. Economists for Gov. Phil Scott and the Legislature downgraded expected state revenues for the current fiscal year by $28.8 million, including $16.3 million in pending corporate tax refunds carried over from the 2017 fiscal year. The state’s Emergency Board last month approved a plan to pay for the refunds. The state’s Transportation Fund was also downgraded by $3.5 million. Continue Reading →

Filed under: , , , , ,

Blue Cross Blue Shield of Vermont seeks $10.3 million from state

MONTPELIER — Blue Cross Blue Shield of Vermont is seeking $10.3 million from the state for premiums and services it did not receive payment for as the insurer works to close out its 2016 book of business on the state’s health insurance exchange. It is the third year in a row since Vermont Health Connect launched that Blue Cross Blue Shield of Vermont and the state are undergoing a process known as reconciliation. The state paid $1.6 million to BCBS for the 2014 plan year and $3.5 million for the 2015 plan year. The reconciliation process is necessary because the state’s online insurance marketplace was not fully implemented when it launched and some technological elements did not function correctly, resulting in discrepancies within the billing and enrollment system of Vermont Health Connect. In some cases, consumers terminated their insurance plans but the change took months to take effect within the system. Continue Reading →

Filed under: , , , , , , ,

Blue Cross Blue Shield: Vermont Health Connect owes $6.2 million

MONTPELIER — Blue Cross Blue Shield of Vermont is seeking $6.2 million from the state for premiums the insurer did not receive and claims it paid out after the state had terminated individual insurance plans, according to the company and state officials. BCBS and the state are engaged in a reconciliation process to settle the books for health insurance plans sold on Vermont Health Connect, the state’s online health insurance exchange, during 2015. It is the second year that reconciliation is taking place. The state paid $1.6 million to settle the book of business in 2014. A public records request made by the Vermont Press Bureau seeking documents related to the 2015 reconciliation process was returned by the Department of Vermont Health Access, but all 125 pages had all relevant information related to the request redacted. Continue Reading →

Filed under: , , , , , ,

Shumlin administration won’t seek more funds in budget adjustment

MONTPELIER — Shumlin administration officials say they are hoping to avoid asking lawmakers for additional funds for the 2016 fiscal year in the annual budget adjustment and will instead ask for the authority to shuffle spending within state government. Finance Commissioner Andrew Pallito, who took over the post on Nov. 1, will update the Legislature’s Joint Fiscal Committee Friday on the administration’s budget adjustment progress and its plan to address a $35 to $40 million gap in the Medicaid program. Pallito said Thursday the administration will seek “spending authority manipulation across state government” to help close the Medicaid gap and address additional budget pressures in state government. “We’re going to zero it,” Pallito said. Continue Reading →

Filed under: , , , , , , ,