Posted
By
Alicia Freese
on Wed, Feb 8, 2017 at 4:02 PM
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Terri Hallenbeck
OneCare CEO Todd Moore addresses reporters Wednesday with Gov. Phil Scott to his right.
Vermont has started a one-year program to pay a network of health care providers a lump sum to care for 30,000 Medicaid patients.
The pilot program could determine whether the state adopts an all-payer system, in which health care providers are paid based on the quality of care they provide rather than the quantity of services.
“At the end of this pilot, if it’s effective, we’ll expand it,” Gov. Phil Scott said at a press conference Wednesday. “If it’s not meeting these goals and we cannot address operational concerns, we will not move forward.”
Scott’s predecessor, Peter Shumlin, received permission from the federal government last year to implement an all-payer model, and
selected OneCare last June to try out the model with Medicaid patients.
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Posted
By
John Walters
on Thu, Jan 5, 2017 at 2:03 PM
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File: Jeb Wallace-Brodeur
Vermont Statehouse
Governor Phil Scott will get the chance to make an immediate impact on health care regulation in Vermont, as two of the five members of the Green Mountain Care Board are stepping down.
GMCB chair Al Gobeille is leaving the board to become Agency of Human Services secretary. Board member Betty Rambur is resigning effective January 15 to move out of state. “This is a completely personal decision,” she told
Seven Days. “My husband-to-be lives in Rhode Island, and I have an opportunity for a position there. The stars just lined up.”
Indeed, she’d thought about resigning in September, but “we wouldn’t have had a quorum” because Dr. Allan Ramsay had just resigned and Con Hogan was on medical leave. “A lot of health care decisions are made in September, and the board would have been unable to do its work,” she said.
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Posted
By
John Walters
on Mon, Jan 2, 2017 at 8:59 AM
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File: Jeb Wallace-Brodeur
House Minority Leader Don Turner
Don’t look now, but the honeymoon might be over before it began.
“I’m becoming increasingly concerned,” Rep. Don Turner (R-Milton), the House minority leader, says of GOP governor-elect Phil Scott’s burgeoning administration. “I wanted to see a Republican governor who wanted to make changes.”
Turner is specifically “concerned” about the large number of extended cabinet members Scott has retained from the outgoing administration of Democratic Gov. Peter Shumlin. And Turner says he’s not alone.
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Ken Schatz
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Monica Hutt
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Louis Porter
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Andrew Pallito
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Chris Cole
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Bradley Ferland
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Joe Flynn
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Vermont Health Connect
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Mike Smith
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Jim Douglas
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Rebecca Kelley
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Ted Brady
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Patrick Leahy
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Peter Walke
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Posted
By
Katie Jickling
on Fri, Dec 9, 2016 at 11:12 AM
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Courtesy of University of Vermont Medical Center
University of Vermont Medical Center main campus
The University of Vermont Medical Center is investing in a cure for an all-too common patient problem: a lack of housing.
The hospital partnered with Champlain Housing Trust to purchase a Burlington motel that will lodge patients who are homeless or need temporary housing. On Friday, CHT announced its agreement to use donated UVMMC dollars to buy the Bel-Aire Motel on Shelburne Street in Burlington’s South End. The purchase is expected to be finalized this month.
CHT plans to refurbish the motel to create eight apartments that can house 12 people. Permitting and renovations on the property will begin this winter, and the space could ready for tenants by April, CHT officials said.
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Posted
By
Terri Hallenbeck
on Thu, Dec 8, 2016 at 11:44 AM
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File: Terri Hallenbeck
Vermont legislators debating the end-of-life law
Are Vermont doctors obligated to tell their terminally ill patients that they can request a prescription to hasten their own deaths? That question is at the core of a federal court case.
Three-plus years after a Vermont end-of-life law went into effect, the legal challenge unfolding in Rutland could decide how involved medical professionals have to be in informing patients of the law.
The suit was
filed last July by opponents of the
2013 law. It has revealed that the state Attorney General’s Office disagrees with advocates of the law over whether a doctor is obligated to inform patients of the option.
U.S. District Court Judge Geoffrey Crawford ruled last week that two terminally ill Vermont patients and two advocacy groups may be heard as interveners in the case.
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Posted
By
Terri Hallenbeck
on Mon, Dec 5, 2016 at 9:49 AM
Dr. Giselle Sholler was working at Fletcher Allen Health Care in Burlington a decade ago when she started making a name for herself as a tenacious yet loving physician treating children sickened with neuroblastoma, a form of cancer.
Now based in Grand Rapids, Mich., Sholler’s continued work is the subject of a heart-wrenching
five-part series in the Boston Globe titled “The Power of Will.”
I wrote about Sholler’s neuroblastoma research in Burlington in a 2008 article for the
Burlington Free Press. Her upbeat bedside manner and her unrelenting willingness to try new treatments made her a magnet for desperate parents of neuroblastoma patients from around the country and abroad.
“It had been quite big news in the neuroblastoma world as to what’s
happening here,” Richard Brown, a father who’d brought his son from London for treatment, told me then.
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Posted
By
Terri Hallenbeck
on Tue, Nov 29, 2016 at 3:33 PM
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Terri Hallenbeck
Gov. Peter Shumlin speaking Tuesday
If Republican president-elect Donald Trump makes good on his pledge to dismantle the Affordable Care Act, it will be a “disaster” for Vermont, Democratic Gov. Peter Shumlin said Tuesday.
In 2010, 8.6 percent of Vermonters lacked health insurance. Last year, the number had dropped to 2.7 percent, the governor said. Vermont has the second lowest rate of uninsured people in the country overall, according to his office.
Vermonters who receive subsidies for their health coverage get a median of $300 per person per month, said Sean Sheehan, director of outreach and education at the Department of Vermont Health Access.
If Trump eliminates the health insurance programs enacted under President Barack Obama, as he has said he will, Vermonters would lose at least $100 million a year in subsidies, Shumlin said.
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Posted
By
Sasha Goldstein
on Thu, Nov 17, 2016 at 5:19 PM
Laurie Stavrand
Volunteers crowd in for orientation at VRRP.
Local organizations that support civil rights, refugees and access to abortion
say that since Donald Trump was elected president, they’ve received an outpouring of support.
The Vermont Refugee Resettlement Program holds volunteer orientations twice a month. More than 100 people showed up at Wednesday night’s event, community partnership coordinator Laurie Stavrand said.
“We’re just getting a lot of positive energy coming our way, which is great because it’s good when people take action,” she said Thursday. “It helps them, and it helps everybody else.”
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Posted
By
Terri Hallenbeck
on Wed, Nov 16, 2016 at 1:12 PM
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File: Paul Heintz
Chief of health care reform Lawrence Miller and director of health care reform Robin Lunge, center, watch as Gov. Peter Shumlin speaks.
Two months before he leaves office, Gov. Peter Shumlin appointed his longtime health care reform director to a six-year term on the state panel that regulates Vermont’s health industry.
Robin Lunge will join the five-member Green Mountain Care Board on November 28, Shumlin’s office announced Wednesday.
She will replace Dr. Allen Ramsay, whose term on the board expired September 30.
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Posted
By
Paul Heintz
on Wed, Oct 26, 2016 at 1:56 PM
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File: Terri Hallenbeck
Al Gobeille and Peter Shumlin in September
Vermont's Green Mountain Care Board voted Wednesday morning to sign an agreement with the federal government designed to transform the state's health care payment system.
The so-called All-Payer Accountable Care Organization Model would reimburse participating providers for health outcomes, rather than for every procedure they perform. Advocates argue that it would slow rising health care costs and improve patient care.
Gov. Peter Shumlin's administration spent years working with Vermont's medical community and negotiating with the federal government to obtain an all-payer waiver. In September, Shumlin reached a verbal agreement with U.S. Secretary of Health and Human Services Sylvia Mathews Burwell to more forward with it.
The GMCB, which regulates the state's health care system, held several public meetings in recent weeks to discuss the draft agreement. Wednesday's vote empowers the board's chair, Al Gobeille, to sign off on the plan. The other required signatories are Shumlin and Burwell.
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