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Payment Reform

The Payment Reform Unit within DVHA seeks to transition Vermont Medicaid’s health care revenue model from Fee-for-Service payments to value-based payments with the goal of providing better, more efficient, coordinated care for Vermonters. In support of this goal, the Payment Reform Unit partners with internal and external stakeholders in taking incremental steps toward the integrated healthcare system envisioned by the Vermont All-Payer Accountable Care Organization Model Agreement with the Centers for Medicare and Medicaid Services. The Payment Reform Unit also works with providers and provider organizations in testing models, and ensures the models encourage high quality of care and are supported by robust monitoring and evaluation plans.

The Payment Reform Unit is available as a resource to other units in DVHA and to other departments within the Agency of Human Services that are considering potential payment reform options. Current projects include payment reform activities in the following areas:

More information to come regarding the below activities