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
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 �
Reducing diabetes deaths Reducing diabetes deaths
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 �
The Model for Chronic Disease The Model for Chronic Disease Care Care
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