Vermont Sets Its Focus On Statewide Model Of Care That Incentivizes Keeping Patients Healthy
After its single-payer efforts collapsed, the state is trying to revolutionize health care in a different way. The model is similar to how Medicare pays for care.
The Washington Post:
After Single Payer Failed, Vermont Embarks On A Big Health Care Experiment
Doug Greenwood lifted his shirt to let his doctor probe his belly, scarred from past surgeries, for tender spots. Searing abdominal pain had landed Greenwood in the emergency room a few weeks earlier, and he’d come for a follow-up visit to Cold Hollow Family Practice, a big red barnlike building perched on the edge of town. After the appointment was over and his blood was drawn, Greenwood stayed for an entirely different exam: of his life. Anne-Marie Lajoie, a nurse care coordinator, began to map out Greenwood’s financial resources, responsibilities, transportation options, food resources and social supports on a sheet of paper. (Johnson, 9/17)
Population Health: Providers Still Struggling To Build Community Connections
The slow move away from a fee-for-service payment model toward value-based reimbursement in recent years has for many healthcare providers been a key incentive behind their focus on exploring different ways to improve the health of the communities they serve. For organizations like New York City-based Montefiore Health System, population health management has been a part of its business model and care delivery strategy for the past two decades. The health system began taking on risk-based contracting for patient care in 1996, and now has more than 20% of its net patient revenue tied to such payment models. (Johnson, 9/16)