Skip to main content

What's New

Updates from the Executive Director

Open Enrollment and Premium Tax Credits

Do you purchase your own individual or family health insurance plan? There are premium tax credits that are available to people who may not have qualified before. The amount people can save as a result of the premium tax credit can be hundreds of dollars each month. For example, in 2022, a single person making $60,000 a year may save $324 each month through Vermont Health Connect, while a family making $100,000 a year may save $1,396 or more each month.

Information for Vermonters

  • How to Access Health Care Subsidies: Approximately 5,500 Vermonters could still save money in 2022 on their monthly premium by signing up through Vermont Health Connect (VHC). To find out if you qualify for a subsidy, use the VHC Plan Comparison Tool.
  • Open Enrollment: Vermonters can use the Plan Comparison Tool starting October 14, 2022, to compare plans for 2023. Open enrollment for 2023 plans begins November 1, 2022. 
  • Questions About Your Health Insurance? For questions about your health insurance or health care access, please contact Vermont Legal Aid’s Office of the Health Care Advocate at 1-800-917-7787.

Learn More

2023 ACO Oversight Process 

The GMCB's oversight of Accountable Care Organizations (ACOs) consists of 1) certification and 2) annual budget review. These regulatory processes include a review of: programs and investments to facilitate the shift to value-based care; investments in health improvement activities; tools and analytics to support providers and improve health care quality and reduce unnecessary costs; ACO administrative costs; and the alignment of ACO strategies with Vermont’s All-Payer Model goals. There are two ACOs that the GMCB will oversee in FY23:

OneCare Vermont 

Lore Health

Timeline for FY23 ACO Process

All-Payer Model Update

On November 28, 2022, the GMCB voted to sign the All-Payer Model (APM) Extension, an agreement between the State of Vermont and the Centers for Medicare and Medicaid Innovation (CMMI). The final agreement, signed on December 5, 2022, extends Vermont's APM Agreement for one year (2023) with an additional transition year at the option of the State (2024). 

The extension of the current APM agreement provides stability while the state seeks stakeholder input and negotiates a subsequent model, a process led by the Administration and Agency of Human Services. The GMCB will continue to lend its expertise on operations and reporting for the current APM as negotiations for a subsequent model are ongoing. 

Sustainability Planning

Act 167: An act relating to health care reform initiatives, data collection, and access to home- and community-based services.

  • Last session, the legislature passed Act 167 (S. 285). One component of the Act requires the Board and the Agency of Human Services to consider options for a more sustainable health care system through community and provider engagement. 
  • Latest Update: The GMCB has issued a Request for Proposal (RFP) that was developed in collaboration with the Agency of Human Services (AHS). The RFP seeks support in carrying out data analysis and community and provider engagement to support hospital transformation, as required by Act 167 of 2022. The RFP was informed by input from a broad spectrum of provider organizations, consumer advocates, insurers, and other stakeholders. 

Press Releases and Upcoming GMCB Meeting Information

For the 2023 Board Meeting information and materials click here.


Recent Decisions and Bulletins

  • On December 21, 2022, the Board modified OneCare Vermont budget.
  • On December 19, 2022, the Board issued its decision and order approving modifications to Cigna's 2023 Large Group Health and Life Insurance rate filing. Click here for the decision and order. 
  • On November 7, 2022, the Board issued its decision and order approving modifications to the MVP Health Plan 2023 Large Group HMO rate filing. Click here for the decision and order. 
  • On September 30, 2022, the Board issued its decision and order approving modifications to the 2023 BCBSVT AHP Filing. Click here for the decision and order.