2019 Board Meeting Information

December 18, 2019

• Agenda
• Approved Minutes
• 2020 Medicare Benchmark Recommendation
• Accountable Care Organization Oversight FY 2020 Final Recommendations
• GMCB Analytic Team's Proposed Research and Reporting Priorities for 2020-2021

December 11, 2019

• Agenda
• Approved Minutes
• 2020 Medicare Benchmark Recommendation
• GMCB Accountable Care Organization Oversight - FY 2020 Preliminary Recommendations
  • Accountable Care Organization Oversight Process Acronym List

December 4, 2019

• No Board Meeting

November 27, 2019

• No Board Meeting

November 25, 2019

• Canceled

November 20, 2019

• Agenda
• Approved Minutes
• 2019-2020 Health Information Exchange Strategic Plan and 2020 Connectivity Criteria - GMCB Staff Recommendation - updated 11/19/19
• APM Update and 2020 Medicare Benchmark Recommendation
• 2018 ACO Quality and Financial Results by Payer

November 13, 2019

• Agenda
• Approved Minutes
• Vermont's Health Information Exchange Plan
• VHIE Connectivity Criteria
• VITL Quarterly Update

November 6, 2019

• Canceled

October 30, 2019

• Agenda
• Approved Minutes
• GMCB Introduction to the Accountable Care Organization Regulatory Process
• OneCare Vermont 2020 Budget and 2018 Results

October 23, 2019

• Canceled

October 16, 2019

• Agenda
• Approved Minutes
• NMC and Our Accountable Community for Health
• Video of traveling board meeting at NMC
• Link to RiseVT Franklin & Grand Isle Counties Facebook page: a video of St. Albans City School and Tess Bashaw's Gold Classroom demonstrating a 'brain break' to staff/members of the GMCB!

October 2, 2019

• Agenda
• Approved Minutes
• Bios of Panelists
• Information on Educational Program at Brattleboro Memorial Hospital

September 25, 2019

• Agenda
• Approved Minutes
• Opioid Medication Discontinuation and Risk of Adverse Opioid-Related Health Care Events Presentation
  • Article
• Mental Health Related Emergency Department Claims for Vermont Children Presentation
• Pediatric Health Services Research Using VHCURES
• Overview of GMCB's Data Governance Council

September 18, 2019

• Agenda
• Approved Minutes 9/9/19
• Approved Minutes 9/11/19
• UVM Milestone Report on Investments Towards Increasing Mental Health Capacity
• OneCare Vermont 2019 Financial Update

September 13, 2019

• Canceled - All FY 2020 hospital budgets were voted on by Wednesday, September 11, 2019

September 11, 2019

• Agenda
• Approved Minutes
• FY 2020 Hospital Budget Board Deliberations - updated 10/7/19

September 9, 2019

• Agenda
• Central Vermont Medical Center Restated FY 2020 Budget - Presentation
  • Revised Projection Handout
• FY 2020 Hospital Budgets - Staff Recommendations

September 4, 2019

• Agenda
• Approved Minutes
• GMCB General Advisory Committee Charter - Overview and Staff Recommendation
  • Draft GMCB General Advisory Committee Charter
• FY 2020 Hospital Budget Board Deliberations - updated 9/6/19
  • Staff Recommendations - Gifford, Rutland, and Springfield

August 28, 2019 - Hospital Budget Hearings

• Mt. Ascutney Hospital & Health Center - updated 8/27/2019
  • Video of Hearing
• Grace Cottage Family Health & Hospital
  • TCOC Response
  • Video of Hearing
• Springfield Hospital - updated 8/22/2019
  • Video of Hearing
• FY 2020 Vermont Hospital Budget Hearing Recap and Deliberation Process

August 26, 2019 - Hospital Budget Hearings

• UVM Health Network
  • Video of Hearing

August 23, 2019 - Hospital Budget Hearings

• Northeastern Vermont Regional Hospital
  • Video of Hearing
• Northwestern Medical Center
  • TCOC Response
  • Video of Hearing

August 21, 2019 - Hospital Budget Hearings

• Copley Hospital
  • Video of Hearing
• North Country Hospital
  • Video of Hearing
• Gifford Medical Center
  • Video of Hearing

August 19, 2019 - Hospital Budget Hearings

• Rutland Regional Medical Center
  • Video of Hearing
• Brattleboro Memorial Hospital
  • Video of Hearing
• Southwestern Vermont Health Care
  • Video of Hearing

August 14, 2019

• Canceled

August 7, 2019

• Agenda
• Approved Minutes
• Vermont Information Technology Leaders (VITL) Quarterly Update
• Department of Vermont Health Access (DVHA) Health Information Exchange (HIE) Consent Policy Update
  • DVHA HIE Consent Policy Stakeholder Engagement and Implementation Strategy: Report to the Vermont Legislature
• All-Payer Model Update: PY1 Quality, Scale & Total Cost of Care Results to Date

July 31, 2019

• Agenda
• Approved Minutes
• FY 2020 Vermont Hospital Budget Submissions - Preliminary Review - updated 8/20/19

July 24, 2019

• No Board Meeting

July 17, 2019

• Canceled

July 10, 2019

• Agenda
• Approved Minutes
• Axene Health Partners - Presentation to the GMCB: 'Optimal Surplus Range Development'
• DFR Order re: BCBSVT Risk-Based Capital Range Study ​

July 3, 2019

• No Board Meeting

June 26, 2019

• Agenda
• Approved Minutes
• FY 2020 ACO Budget Guidance and Certification Eligibility Verification
• FY 2020 ACO Budget Guidance Document - staff recommendation
• FY 2020 ACO Budget and Certification Materials

June 19, 2019

• Agenda
• Approved Minutes
• The University of Vermont Medical Center Update

June 12, 2019

• Agenda
• Approved Minutes 6/3/19
• Approved Minutes 6/5/19
• University of Vermont Health Network - Psychiatric Inpatient Capacity Planning Update
  • UVM Health Network Quarterly Report on Inpatient Mental Health Capacity 5/15/19
• FY 2020 Hospital Budgets Non-Financial Report
• Rate Review 101 Presentation
  • 2020 Qualified Health Plan Certification Timeline

June 5, 2019

• Agenda
• VITL FY 2020 Budget - potential vote
• SASH Presentation
• 2019 Legislative Overview - updated
• FY2020 ACO Guidance

June 3, 2019

• Agenda
• Approved Minutes
• OneCare Vermont 2019 Update
• 2019 Legislative Overview - updated 6/5/19

May 29, 2019

• Agenda
• Approved Minutes
• Gifford Medical Center - Accountable Communities for Health Presentation

May 22, 2019

• No Board Meeting

May 15, 2019

• Agenda
• Approved Minutes
• VITL FY 2020 Budget Presentation
• DVHA - Health Information Exchange/Health-IT Update

May 8, 2019

• Canceled

May 1, 2019

• No Board Meeting

April 24, 2019

• Agenda
• Approved Minutes
• FY 2018 Springfield Hospital Enforcement Discussion
• Springfield Hospital 2018 and 2019 Budget Variances & Modification Request - updated 5/1/19
• FY 2018 Springfield Hospital Enforcement Deliberation Discussion - Potential vote
• FY 2019 Springfield Hospital Amended Budget Request Staff Recommendation - Potential vote

April 19, 2019

• Agenda
• Approved Minutes
• FY 2018 Enforcement Deliberation

April 17, 2019

• Agenda
• Approved Minutes 4/10/19
• Approved Minutes 4/12/19
• Green Mountain Surgery Center CON Application - Documents

April 12, 2019

• Agenda
• FY 2018 Copley Hospital Enforcement Discussion
  • Copley Hospital FY 2018 Performance Presentation

April 10, 2019

• Agenda
• Approved Minutes
• ACO Regulation and All-Payer ACO Model Implementation Update, and Interactive TCOC Tool
• FY 2018 Mount Ascutney Hospital and Health Center Enforcement Discussion
  • Mt. Ascutney Hospital & Health Center Enforcement Hearing Presentation
• FY 2018 North Country Hospital Enforcement Discussion
  • North Country Hospital, GMCB Budget Rebalance Presentation

April 8, 2019

• Agenda
• Approved Minutes
• FY 2018 Enforcement Hearing Overview
• FY 2018 Gifford Medical Center Enforcement Discussion
  • Gifford Medical Center, Healthier Together, GMCB Budget Presentation
• FY 2018 Northwestern Medical Center Enforcement Discussion
  • Achieving a Healthier Future, Northwestern Medical Center's FY 18 and YTD 19 Financial Update
• Porter Medical Center Rebase Discussion
  • Letter from Porter Medical Center, 4/6/19

April 3, 2019

• Agenda
• Approved Minutes
• The New Future of Rural Healthcare Strategies for Success - Eric K. Shell, CPA, MBA
• Rural Hospitals and Health Care Challenge & Opportunity - Jeff Tieman, President and CEO VAHHS
• OneCare Vermont: APM Payment & Delivery System Reform - Kevin Stone, MBA, Interim CEO
• GMCB Panel Discussion on Rural Hospitals - Steven Gordon, CEO, Brattleboro Memorial Hospital
• Gifford - Mission-Driven and Responsive by Dan Bennett, President and CEO

March 27, 2019

• Agenda
• Approved Minutes
• FY 2019 Amended Budget Request - Springfield
  • Springfield Hospital Rate Increase Request
  • Springfield Hospital Estimated 5 percent rate increase effective May 1, 2019
• FY 2020 Hospital Budget Guidance
  • Hospital Budget Guidance Final Draft for Review
  • Budget Guidlines NPR Excerpt
• FY 2018 Hospital Budget Enforcement
• 2017 Health Care Expenditure Analysis

March 20, 2019

• Agenda
• Approved Minutes
• Rulemaking Update Overview: Rule 7.000 
  • Draft - Rule 7.000: Removal of a Board Member for Cause 
• Strengthening Families and Communities Presentation - Breena Holmes, MD
• A Vermont Cultural Change Initiative - Tom Rees
• PCAG Update: E-M Audit Form 
• PCAG Update: Table and Figure re: Physician Burnout 

March 13, 2019 

• Agenda 
• Approved Minutes 
• VITL Update 
• DVHA HIE/Health-IT Update 
• Gifford Hospital Budget Amendment Request (corresponding documents under Gifford Medical Center)
• FY 2018 Actual Results
• FY 2020 Hospital Budget Guidance Presentation
  • FY 2020 Hospital Budget Guidance (Draft)
  • FY 2020 Hospital Budget Guidance Appendicies
• Combined Hospital Budget Presentation (Projected slide deck)
• OneCare Vermont Budget Amendement Request Presentation 
  • Health Care Advocate (HCA) Public Comment 
  • OneCare Vermont Letter to the Board

February 27, 2019

• Agenda 
• Approved Minutes 
• 2019 Individual and Small Group Enrollment 
• OneCare Vermont Update for PY 2018 
• OneCare Vermont ACO 2018 Budget Order Amendment Request to GMCB

February 20, 2019

• Agenda
• Approved Minutes
• FY 2020 Draft GMCB Hospital Budget Guidance Presentation 
• GMCB FY 2020 Hosptial Budget Guidance and Reporting Requirements - Draft 
  • Appendices FY 2020 Guidance
  • Non-Financial Reporting Template 
  • Gifford Letter re Budget Extension Request 
• DVHA Status Update: 2020 Standard Qualified Health Plan Proposal 
  • 2019 Plan Designs with Final Rates 
• Psychiatric Inpatient Capacity Planning Update 

February 13, 2019 - Canceled 

February 6, 2019

• Agenda 
• Approved Minutes
• Pharmacy Pricing and PBM Overview 
• MAHHC Budget Presentation and Comparative Effectiveness Research in Rx
• Rate Review Program Evaluation
  • Rate Review Evaluation Report Link

January 30, 2019 (*Meeting scheduled to start at 2:00 pm)

• Agenda
• Approved Minutes 
• Health Care Workforce: Challenges and Opportunities 
• Addressing Vermont's Health Care Labor Force Challenge: Economic Trends & Strategic Initiatives 
  • Community Health Workers Handout

January 23, 2019

• Agenda
• Approved Minutes 
• ACO Certification Eligibility Review for OneCare - Staff Recommendations 

January 16, 2019

• Agenda
• Approved Minutes 
• Gundersen Health System: Orthopaedic's Journey 
• Strategies to Reduce Cost and Improve Care

January 9, 2019 

• Agenda 
• Approved Minutes 
• VHIE Consent Policy Report & Recommendation 
• Highlights of the 2018 Vermont Household Health Insurance Survey 
• ACO Certification Eligibility Review for OneCare Vermont: Staff Analysis & Recommendations 
• Memo re 2019 Certification Eligibility for OneCare Vermont (1/7/2019)