Health Reform

Health Reform

Focusing on a high quality, sustainable delivery system that integrates mental health, substance use disorder and developmental disability services to achieve the Triple Aim.

Vermont is undergoing a significant amount of change as it relates to the delivery and payment of health care. Benefits of the health reform include: greater flexibility in spending to enable health care providers to better address the social determinants of health; developing more consistency in payment and requirements across payers; reduction of unnecessary rules and administrative burdens; reduction of overall cost growth and improved health outcomes.

Vermont Care Partners is actively engaged in this process. VCP and our network agencies have representation and/or leadership roles on every Vermont Health Care Innovation Project Workgroup, representation on the boards of two accountable care organizations (OneCare and CHAC), and are active in the local Community Collaboratives and Community Health Teams, in addition to our ongoing work with the State on policy development and implementation impact the health and well-being of Vermonters.

In the State’s quest for a fully integrated health care delivery system, we promote bi-directional care, care coordination and case management through highly successful models our Network has utilized for decades, highly functioning health information exchange, and a focus on outcomes that truly demonstrate the improvement of an individual’s and population’s functioning and health. When we talk about health, we mean the entire health and well-being of a person and/or community including the social determinants. Health includes mental health, functioning within a community, healthy relationships, appropriate housing, food security, employment and more.

VCP is currently working with the Agency of Human Services and the Agency of Administration on a Medicaid Pathway to enable our Network improve the way we deliver care through a value based payment methodology. This Pathway aligns with the All Payer Model and other health reform initiatives. VCP’s goals for payment reform are to:

  • Develop an efficient and effective payment methodology to enable flexibility to meet need.
  • Strengthen the overall fiscal health of the Agencies to provide the highest quality care.
  • Strengthen our ability to recruit and retain the workforce to provide the services.
  • Streamline outcomes and reporting.
  • Enable further integration and care coordination with our community based health and social service partners.

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