Vermont Health Care Reform

Vermont Health Care Reform National Academy for State Health Policy Annual Conference Denver, Colorado Pilgrim’s Pride Workshop 1:30 - 3:00 pm October 15, 2007 Susan W. Besio, Ph.D. Director of Health Care Reform Implementation Vermont Agency of Administration

Vermont Context ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Vermont Context – Health Care Costs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Vermont Context – The Insured 91.2% of Vermonters, 95.1% of Vermont children ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Vermont Data 2005 – The Uninsured 9.8% of Vermonters, 4.9% of Vermont children ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Vermont Data 2005 – The Uninsured 9.8% of Vermonters, 4.9% of Vermont children ,[object Object],[object Object],[object Object],[object Object],[object Object]

Vermont’s Response ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Health Care Reform Goals Increase Access Improve Quality Contain Costs 35+ Initiatives

Goal: Increase Access to Affordable Health Care Coverage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Goal: Improve Quality of Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Goal: Contain Costs Increase Access to Coverage and Care  Decrease Uncompensated Care  Lower Premium Costs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Improve Quality of Health Care  Appropriate Care, Better Information  Lower Costs ,[object Object],[object Object],[object Object]

Why is Coverage Important? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Catamount Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Catamount Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Catamount Health Costs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Catamount Health Eligibility ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Catamount Health Eligibility ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Key Dates: CATAMOUNT HEALTH PLANS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Premium Assistance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Premium Assistance Cost Effectiveness Test ,[object Object],[object Object],[object Object],[object Object]

How will Premium Assistance be Paid? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Key Dates: PREMIUM ASSISTANCE FOR ESI / CATAMOUNT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Outreach and Enrollment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Coverage Implementation Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Blueprint for Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Public Policy Public Health Health Systems Community Health Provider Team Patients and Families ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Blueprint for Health Model Healthier V e r m o n t e r s

Examples of Blueprint Components ,[object Object],[object Object],Health Systems ,[object Object],[object Object],[object Object],Health Care Practice ,[object Object],[object Object],Information Systems ,[object Object],[object Object],[object Object],Self-Management ,[object Object],[object Object],Community ,[object Object],[object Object],[object Object],[object Object],Public Policy

Other Chronic Care Strategies To Be Aligned with the Blueprint ,[object Object],[object Object],[object Object],[object Object]

Blueprint Alignment Topics Across Chronic Care Programs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Blueprint Impact on Health Care Costs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Health Information Technology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Blueprint, IT Implementation Issues ,[object Object],[object Object],[object Object],[object Object]

Financing of Reforms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Employer Contribution ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Employer Contribution ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What about ERISA? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What about ERISA? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Key Dates ,[object Object],[object Object],[object Object],[object Object],[object Object]

Employer Contribution Implementation Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Reform Oversight ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Vermont Health Care Reform

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Vermont Health Care Reform