Payment Reform Pilot Policy
Hospital Budget Review
Vermont’s hospital budgets, which have been subject to state review since 1983, have been regulated by the Green Mountain Care Board (GMCB) since hospital fiscal year 2013, which began in October 2012.
The goals of payment reform in Vermont are to move away from volume-based payments toward a payment system that reinforces our efforts to improve the health of Vermonters, improve quality of care, and contain the rate of growth in health care costs. We are testing systems on a pilot basis with willing providers, across all payers -- including Medicaid and Medicare. We will evaluate the pilots to judge their applicability to broader populations of health professionals and patients.