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An Official Vermont Government Website

Initiatives

Our commitment to continual improvement is not limited to external health outcomes. When we look for opportunities to improve internally – in the way we carry out our responsibilities – three priorities emerge: adoption of value-based payments, management of information technology projects, and operational performance improvement.

To learn more about the information technology projects that are either underway or recently completed, please click on the following menus. 

Data Analytics Dashboard
A custom tool that will aggregate billing and claims data from providers (as well as alert flags) that may be indicative of fraud, waste or abuse.
Electronic Visit Verification
A telephone and computer-based system that documents details about a home-based personal care visit to make sure that services are delivered correctly
Interoperability and Patient Access
An initiative to improve patient access to their health information for those on Medicaid.
Interoperability Phase 2
Improving health information exchange to achieve necessary access to health records for patients, healthcare providers and payers.
Long Term Care Case Management
Utilize Salesforce to become the repository for extraneous LTC client case tracking data not already stored in ACCESS.
Medicaid Data Warehouse & Analytics Solutions
An initiative that will allow stakeholders to analyze and report on aggregated Medicaid data from a single location.
National Eligibility Database
Automated data matching process for retrieving new Medicaid members' primary insurance information, ensuring Medicaid is the payor of last resort.
Payment Reform
Transitioning Vermont Medicaid’s health care revenue model from Fee-for-Service payments to value-based payments
Pharmacy Benefits Administrator
The Pharmacy Benefit Administrator (PBA) provides operational/clinical services including processing of pharmacy claims and array of other services.
Transformed Medicaid Statistical Information System
A comprehensive Medicaid data resource informing public health policy, research, and oversight.