S. Silow-Carroll, Medicaid Is One of Multiple Payers in Vermont’s Health Care Reforms, The Commonwealth Fund, March 2013
Vermont Medicaid is a key player as the state pioneers multipayer health care delivery and payment reforms. Under Vermont Blueprint for Health, most Medicaid beneficiaries and state residents will be served in 2013 by medical homes with community health teams, with additional support services for Medicaid enrollees with complex conditions. Payment pilots are testing accountable care organization, bundled payment, and global budget models intended to align incentives and move toward a “unified health care budget” among multiple purchasers. This case study is one of three in a series on innovations being undertaken by states to improve quality and efficiency in their Medicaid programs.