Payment Reform

Presentation

All-Payer Accountable Care Organization Model Update

12 January 2017

Health Spending Growth Drivers in Vermont: Part 2 Medicare 2008-2012 Vermont Residents (October 2015)

20 October 2015

Health Spending Growth Drivers in Vermont: Part 1 Medicaid and Commerical Insured 2008-2012 Vermont Residents (October 2015)

20 October 2015

Payment Reform

Market Analysis Study - September 2015

17 September 2015

Contract

Vermont All-Payer Accountable Care Organization Model Agreement

28 October 2016

Vermont All-Payer Accountable Care Organization Model Agreement

Payment Reform Reports and Presentations

2016 Reports

Act 113 of 2016 compared w/ current Vermont Commercial ACO Pilot Standards and Draft ACO Standards for the All-Payer Model, June 9, 2016

Proposed Vermont All-Payer Model Draft ACO Standards, June 9, 2016

Payment Reform Pilots

GMCB Payment Reform Pilot Policy and Application

Policy

Application

GMCB Approved Pilots

St. Johnsbury, Vermont

 St. Johnsbury Oncology Pilot

All-Payer Model Agreement and Justification

• Vermont All-Payer ACO Model (CMS)

• Vermont GMCB Medicare Trend Factor Approval Request (12/22/2017)

• GMCB Attestation Letter (12/22/2017)

ACO Shared Savings

GMCB Shared Savings Programs

• Vermont Commercial ACO Compilation of Pilot Standards
• 2014-2015-2016 ACO Utilization-ACO Cost-Statewide Quality Report - Excel format

ACO Reports

Minutes

GMCB Minutes 6-2-16

02 June 2016

Rate Review Filing; H.812; Act 113; ACO Standards

Pages