Overview of Health Care Overview of Health Care Reform in Vermont - - PowerPoint PPT Presentation

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Overview of Health Care Overview of Health Care Reform in Vermont - - PowerPoint PPT Presentation

Overview of Health Care Overview of Health Care Reform in Vermont Reform in Vermont Jim Hester Jim Hester Director Director Health Care Reform Commission Health Care Reform Commission Vermont State Legislature Vermont State Legislature


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Overview of Health Care Overview of Health Care Reform in Vermont Reform in Vermont

Jim Hester Jim Hester Director Director Health Care Reform Commission Health Care Reform Commission Vermont State Legislature Vermont State Legislature May 14, 2007 May 14, 2007 jhester@leg.state.vt.us jhester@leg.state.vt.us

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Key Elements of 2006 Reform Key Elements of 2006 Reform

  • Expand affordable coverage: Goal = 4% uninsured by 2010

Expand affordable coverage: Goal = 4% uninsured by 2010

  • Voluntary model

Voluntary model

  • Enhanced Medicaid outreach and enrollment processes

Enhanced Medicaid outreach and enrollment processes

  • Catamount Health Plan:

Catamount Health Plan:

  • new commercial offering by two insurers (10/07)

new commercial offering by two insurers (10/07)

  • benefit design specified in legislation

benefit design specified in legislation

  • reduced price due to reduced hospital & physician reimbursement

reduced price due to reduced hospital & physician reimbursement

  • Reduce the rate of increase in medical costs while improving the

Reduce the rate of increase in medical costs while improving the health of Vermonters health of Vermonters

  • Blueprint for Health: Chronic Illness Care

Blueprint for Health: Chronic Illness Care

  • Use health information technology as a catalyst for reform

Use health information technology as a catalyst for reform

  • regional health information exchange (VITL)

regional health information exchange (VITL)

  • pilot projects in medications and Chronic Care Info. System

pilot projects in medications and Chronic Care Info. System

  • state

state-

  • wide health technology plan

wide health technology plan

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Reducing diabetes deaths Reducing diabetes deaths

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Chronic Illness Care Chronic Illness Care

  • Chronic illness major driver of cost increase

Chronic illness major driver of cost increase

  • Past: Ken Thorpe, Health Affairs

Past: Ken Thorpe, Health Affairs

  • Future: CDC 10 year projections

Future: CDC 10 year projections

  • Blueprint for Health

Blueprint for Health

  • Prevention: reduce growth rate of prevalence

Prevention: reduce growth rate of prevalence

  • Treatment: Chronic Care Model

Treatment: Chronic Care Model

  • Public/private partnership managed by Health

Public/private partnership managed by Health Dept. Dept.

  • Three major commercial insurers plus Medicaid

Three major commercial insurers plus Medicaid

  • Hospital association and medical society

Hospital association and medical society

  • Business community

Business community

  • Key state agencies

Key state agencies

  • Expand from 2 pilot towns to statewide by 2011

Expand from 2 pilot towns to statewide by 2011

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The Model for Chronic Disease The Model for Chronic Disease Care Care