Wisconsin implemented Medicaid rate reform in two versions to achieve required budget savings while maintaining coverage. Version 1 involved over 200 stakeholders and identified 56 ideas, saving $277 million. Version 2 proposed 36 smaller ideas, like recouping duplicate payments and care coordination, estimated to save $39.7 million through program improvements without major eligibility cuts or benefit reductions. Lessons included engaging stakeholders, considering legislative and staff limitations, and embracing continuous quality improvement.
2011 changes to wmc medical benefit planjrsearlsjr
The document discusses proposed changes to the WMC Medical Benefit Plan to control costs and maintain long-term financial viability. Key points:
1. Claims costs for 2010 were higher than expected, exceeding projections by $698,700. Several major claims contributed significantly.
2. Proposed changes for 2011 include increasing participant premium contributions, deductibles, copays, and out-of-pocket maximums. The medical plan surcharge for non-participating churches will also increase substantially.
3. These changes are estimated to reduce costs by $360,000 in 2011 while still maintaining a plan that is above average compared to other Methodist conferences. The changes aim to better balance costs between the plan, churches
The document summarizes key aspects of the proposed Fiscal Year 2017 state budget for Georgia. It outlines increases in funding for K-12 education, higher education, health programs, human services, economic development, public safety, and general government. Some highlights include additional funds for teacher and state employee pay raises, Medicaid enrollment growth, transportation projects, prison education programs, and a one-time 3% cost of living adjustment for retired state employees.
Presenter Benjamin Money, MPH, President & CEO, North Carolina Community Health Center Association, on The North Carolina Health Center Incubator Program as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
This document provides a summary of a 2011 community health needs assessment conducted in Wexford and Missaukee counties in Michigan. It describes the process used to conduct the assessment which included collecting health and socioeconomic data as well as gathering input from community members. The assessment found that the top health issues were poverty, access to healthcare, maternal/child health, chronic disease management/prevention, mental health, substance abuse, and tobacco/alcohol abuse. These issues were linked to underlying social determinants of health like unemployment and low education levels. The assessment will help inform strategic planning and programs to address the community's needs.
The document outlines the Strategic Plan for developing the National Health Information System in Moldova from 2008-2017. The plan has 7 sections that address strategic priorities such as strengthening data quality, administrative capacity, population statistics, health services statistics, information technology, health financing/workforce, and coordination/data analysis. The plan aims to improve health system stewardship by developing the information system according to international standards and integrating data to support evidence-based policymaking and priority setting.
This document provides the annual report for North Carolina Medicaid for State Fiscal Year 2008. It highlights that over 1.7 million individuals were eligible for Medicaid in SFY 2008, a 2.6% increase over the previous year. Total Medicaid expenditures were $11.6 billion, with $9.5 billion spent on health services and premiums. The report discusses initiatives like Community Care of North Carolina and improved access to dental care for children. It provides statistics on Medicaid expenditures, recipients, eligibility categories, and program accomplishments for SFY 2008.
The document provides demographic and health statistics for Madhya Pradesh, India. It notes that MP's GDP growth is 4.89% and the average monthly per capita expenditure on food. It also shares demography projections for 2016 and demography from 2009. The document discusses health budget trends, noting health budget as a percentage of total budget. It outlines social insurance programs and expenditures. The document discusses public and private health expenditures and health budgets for 2008-09 and 2009-10. It identifies challenges like high MMR, IMR and proposes strategies like public-private partnerships to address issues.
Wisconsin implemented Medicaid rate reform in two versions to achieve required budget savings while maintaining coverage. Version 1 involved over 200 stakeholders and identified 56 ideas, saving $277 million. Version 2 proposed 36 smaller ideas, like recouping duplicate payments and care coordination, estimated to save $39.7 million through program improvements without major eligibility cuts or benefit reductions. Lessons included engaging stakeholders, considering legislative and staff limitations, and embracing continuous quality improvement.
2011 changes to wmc medical benefit planjrsearlsjr
The document discusses proposed changes to the WMC Medical Benefit Plan to control costs and maintain long-term financial viability. Key points:
1. Claims costs for 2010 were higher than expected, exceeding projections by $698,700. Several major claims contributed significantly.
2. Proposed changes for 2011 include increasing participant premium contributions, deductibles, copays, and out-of-pocket maximums. The medical plan surcharge for non-participating churches will also increase substantially.
3. These changes are estimated to reduce costs by $360,000 in 2011 while still maintaining a plan that is above average compared to other Methodist conferences. The changes aim to better balance costs between the plan, churches
The document summarizes key aspects of the proposed Fiscal Year 2017 state budget for Georgia. It outlines increases in funding for K-12 education, higher education, health programs, human services, economic development, public safety, and general government. Some highlights include additional funds for teacher and state employee pay raises, Medicaid enrollment growth, transportation projects, prison education programs, and a one-time 3% cost of living adjustment for retired state employees.
Presenter Benjamin Money, MPH, President & CEO, North Carolina Community Health Center Association, on The North Carolina Health Center Incubator Program as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
This document provides a summary of a 2011 community health needs assessment conducted in Wexford and Missaukee counties in Michigan. It describes the process used to conduct the assessment which included collecting health and socioeconomic data as well as gathering input from community members. The assessment found that the top health issues were poverty, access to healthcare, maternal/child health, chronic disease management/prevention, mental health, substance abuse, and tobacco/alcohol abuse. These issues were linked to underlying social determinants of health like unemployment and low education levels. The assessment will help inform strategic planning and programs to address the community's needs.
The document outlines the Strategic Plan for developing the National Health Information System in Moldova from 2008-2017. The plan has 7 sections that address strategic priorities such as strengthening data quality, administrative capacity, population statistics, health services statistics, information technology, health financing/workforce, and coordination/data analysis. The plan aims to improve health system stewardship by developing the information system according to international standards and integrating data to support evidence-based policymaking and priority setting.
This document provides the annual report for North Carolina Medicaid for State Fiscal Year 2008. It highlights that over 1.7 million individuals were eligible for Medicaid in SFY 2008, a 2.6% increase over the previous year. Total Medicaid expenditures were $11.6 billion, with $9.5 billion spent on health services and premiums. The report discusses initiatives like Community Care of North Carolina and improved access to dental care for children. It provides statistics on Medicaid expenditures, recipients, eligibility categories, and program accomplishments for SFY 2008.
The document provides demographic and health statistics for Madhya Pradesh, India. It notes that MP's GDP growth is 4.89% and the average monthly per capita expenditure on food. It also shares demography projections for 2016 and demography from 2009. The document discusses health budget trends, noting health budget as a percentage of total budget. It outlines social insurance programs and expenditures. The document discusses public and private health expenditures and health budgets for 2008-09 and 2009-10. It identifies challenges like high MMR, IMR and proposes strategies like public-private partnerships to address issues.
Ukraine is requesting completion of the third review of its economic program supported by an IMF arrangement. It reaffirms its commitment to the policies and objectives of the program. The letter outlines that Ukraine has met its 2016 performance criteria except for one indicator, and requests resetting and modifying remaining structural benchmarks. It requests completion of the review and disbursement of funds, to help maintain reform momentum and ensure fiscal sustainability and financial stability as Ukraine continues recovering from recession while facing challenges of low and unequal growth, high debt, and weak business climate.
The document discusses the history and current state of Teaching Health Centers (THCs), which provide primary care medical residency training in community and rural health centers. Key points:
- THCs were established in 2010 under the ACA to expand GME outside of hospitals. There are now 44 THC programs across 21 states.
- THCs receive funding through 2015 from HRSA, but this funding will expire without reauthorization. Current residents may not complete training if funding lapses.
- Legislation has been introduced to extend THC funding for 5 more years, but long-term support is still uncertain. The program shows promise for training more primary care physicians for underserved areas.
Greenway Summary Of The American Recovery And Reinvestment Act Of 2009 (2)tguilford
The document summarizes key provisions of the American Recovery and Reinvestment Act of 2009 related to health information technology. It allocates over $20 billion for health IT development, including incentives for providers to adopt electronic health records. It establishes standards and certification criteria for health IT and provides funding to encourage healthcare providers' meaningful use of certified electronic health records.
District Layyah Budget Trends Analysis for Advocacy by LR 19042015DUNYA NEWS
The document analyzes the medicines budget for the district of Layyah, Punjab from 2010-2015. It finds that over this period, the budget demanded increased but the budget allocated, released, and utilized all decreased. Specifically, the medicines budget allocated for 2014-2015 was Rs. 58.06 million compared to Rs. 74.73 million in 2010-2011. This represents only a 35% allocation against the demand that year. The document also notes per capita health spending is very low in Layyah compared to international standards and recommends increasing budget allocations and ensuring full utilization to improve healthcare.
NHS finances: the challenge all policital parties need to face - charts and t...The Health Foundation
The document discusses NHS finances and the challenge of funding the NHS that all political parties must address. It provides historical data on UK public spending on health from 1949 to 2014, which shows spending increasing from 3.6% to 7.5% of GDP. The document also examines projections for NHS funding pressures, estimating a funding gap of £108 billion by 2030 if productivity does not increase. Maintaining productivity growth could reduce the gap but would require unprecedented long-term improvement. All parties will need to decide how best to fund growing demands on the healthcare system.
IMPLEMENTATION OF A SUCCESSFUL HEALTH MANAGEMENT STRATEGYHuman Capital Media
Cherokee County, Georgia, Board of Commissioners together with their consultant, Insurance Office of America, began the process of developing a health management strategy, or HMS, for their self-funded employee benefits program. The county’s plan was bundled with a national carrier and had been in the red financially for many years. The objectives were to reduce spend in the health plans without reducing coverage nor increasing employee premiums. Further, it was the county’s desire to maintain the current network of providers, to improve engagement with their health plan members and to improve the overall perception of the employee benefits program. The county’s final goal was to then develop a long-term strategic plan for their employee benefits program. Developing and deploying an HMS is an integral part of the solution because it is designed to allow for the bolt-on application of new, creative, risk-management-type vendors who could add value to the plan while lowering spend for the county. This was achieved by unbundling services from the carrier and implementing six new best-in-class vendors enhancing coverage where all but one was voluntary in nature, meaning the health plan members didn’t have to use them.
Learning Objectives/Session Takeaways:
Innovative health management strategy designs for self-funded plans.
Change management: buy-in from key stakeholders, reccurring education and strategic communications to plan members.
Top talent: Authentic teamwork and partnership are key.
HSFR/HFG End of Project Regional Report - TigrayHFG Project
The document summarizes health care financing reforms supported by the USAID-funded HSFR/HFG project in the Tigray region of Ethiopia. Key achievements include:
1) Increasing the number of health facilities with functional governing boards and management committees to improve governance and use of retained revenue.
2) Doubling the amount of revenue retained and utilized by health facilities over three years through the revenue retention and utilization reform.
3) Expanding community-based health insurance (CBHI) to cover 69% of woredas and over 1 million beneficiaries, increasing resources mobilized through the program to over 141 million birr.
Malawi Mid-Year Review 2014-2015 Health Sector Overviewmohmalawi
The document summarizes the mid-year review of Malawi's health sector for the period of July-December 2014. It outlines key highlights including a continued focus on maternal, neonatal and child health as well as responding to emergencies like floods, cholera outbreaks, and the Ebola threat. It provides details on health sector financing, performance of health systems and service delivery, and reforms being pursued to improve quality and efficiency. Overall resources for the 2014/15 fiscal year were mapped at MK278.8 billion, with the government contributing 92% of the required funding for the health sector pool.
The document summarizes a presentation on updates related to Medicare Advantage. Key points from the presentation include:
1) Increasing reporting requirements in 2010 for Medicare Advantage plans related to care quality measures, medication therapy management, and data validation.
2) New requirements for Medicare Advantage plans to have a model of care that improves health outcomes and care coordination for enrollees.
3) Potential impacts of proposed health care reform legislation on Medicare Advantage, including changes to payments to plans tied to quality bonus payments and competitive bidding.
The National Association of Counties' 2013 Steering Committee outlined four key legislative priorities for health: maintaining the Medicaid federal-state-local partnership and opposing cuts or cost shifts to counties; assuring ongoing support for the Prevention and Public Health Fund and opposing cuts to it; permitting federal health benefits coverage for persons in county jails pending charge disposition; and supporting full funding for SAMHSA programs including the CMHS and SAPT Block Grants that provide direct health services.
Carrie Banahan, Kentucky Health Benefit Exchange, presented on KYNECT: Kentucky's Healthcare Connection at the State Legislative Conference on November 6, 2015.
The document discusses reforms to North Carolina's mental health, developmental disability, and substance abuse services system. It notes the goals of reform are to control finances, increase local governance and accountability, and reduce reliance on institutions. Key components of reform include counties managing services through Local Management Entities (LMEs), developing evidence-based practices, and downsizing hospitals. However, challenges remain around access to services, funding inequities, workforce issues, and measuring quality. Opportunities exist to improve the system through consensus-building, quality monitoring, and advocacy.
The document summarizes rural health policy issues and reform efforts. It discusses the National Rural Health Association's mission and priorities for health reform, including addressing workforce shortages, ensuring equitable reimbursement for rural providers, investing in rural health infrastructure, and correcting health disparities. It also provides an overview of various legislative proposals and amendments focused on improving access to care in rural America.
The document is a project implementation plan for Orissa's National Rural Health Mission for 2008-09. It provides demographic and health infrastructure details for Orissa and summarizes important state health initiatives. Budget details are given for maternal health, child health, immunization, family planning, adolescent health, urban health, tribal health, and vulnerable groups. Key activities proposed include increasing institutional deliveries, strengthening referral transport, expanding training of health workers, and improving access to health services for rural populations.
Overview of Mental Health Budget and Policy Initiatives for the 2006 Legislat...MHTP Webmastere
Overview of Mental Health Budget and Policy Initiatives for the 2006 Legislative Session
This presentation by David Knutson of the Washington State House of Representatives provides a basic road map of
mental health budget and policy initiatives for 2006
Overview of Mental Health Budget and Policy Initiatives for the 2006 Washingt...guestbf1381
Overview of Mental Health Budget and Policy Initiatives for the 2006 Legislative Session</strong><br />
This presentation by David Knutson of the Washington State House of Representatives provides a basic road map of
mental health budget and policy initiatives for 2006.
Ca plan stakeholder meeting presentation 10.21.10andreafletcher
This document summarizes the agenda and content of a stakeholder meeting to discuss the development of the 2011-2015 Maine Comprehensive Cancer Control Plan. The meeting agenda covered an evaluation of the previous 2006-2010 plan, the process of developing the new 2011-2015 plan, and breakout sessions on different aspects of the cancer continuum. It also discussed the transition of the Maine Cancer Consortium to a 501(c)(3) non-profit organization in order to seek additional funding and further its mission of reducing the cancer burden in Maine.
Ca plan stakeholder meeting presentation 10.21.10andreafletcher
This document summarizes the agenda and content of a stakeholder meeting to discuss the development of the 2011-2015 Maine Comprehensive Cancer Control Plan. The meeting agenda covered an evaluation of the previous 2006-2010 plan, the process of developing the new 2011-2015 plan, and breakout sessions on different aspects of the cancer continuum. It also discussed the transition of the Maine Cancer Consortium to a 501(c)(3) non-profit organization in order to seek additional funding and further its mission of reducing the cancer burden in Maine.
Medpac Report to Congress (2015)- Medicare Payment PolicyDr Dev Kambhampati
The document is a report from the Medicare Payment Advisory Commission (MedPAC) to Congress on Medicare payment policy. MedPAC is an independent agency that advises Congress on issues affecting the Medicare program. The report provides recommendations on updating payments in Medicare's traditional fee-for-service program and the Medicare Advantage program. It finds that Medicare payments are generally adequate but costs are still rising, and it recommends no payment updates for some services to control spending growth while ensuring access to care.
The Impact of Proposed MU Rule Changes 2015 2017MassEHealth
The presentation summarizes proposed changes to the Meaningful Use program for 2015-2017 outlined in a CMS Notice of Proposed Rulemaking. Key changes include shortening the EHR reporting period to 90 days in 2015, reducing the total number of objectives from 13-17 down to 10 for both Stages 1 and 2, and adjusting the timeline so all providers can attest to Stage 3 by 2018. The goals are to better align the stages, streamline redundant measures, and simplify the transition between stages, without requiring new technology functionality. The impact on providers would be minimal changes to workflow and movement toward continued practice transformation.
This report is written for the Board of Directors of the Nazarene Community Health Clinic (NCHC). It outlines the importance and necessity of quality management as it pertains to the health care reform’s mandate that all Americans have access to quality, affordable health care.
Ukraine is requesting completion of the third review of its economic program supported by an IMF arrangement. It reaffirms its commitment to the policies and objectives of the program. The letter outlines that Ukraine has met its 2016 performance criteria except for one indicator, and requests resetting and modifying remaining structural benchmarks. It requests completion of the review and disbursement of funds, to help maintain reform momentum and ensure fiscal sustainability and financial stability as Ukraine continues recovering from recession while facing challenges of low and unequal growth, high debt, and weak business climate.
The document discusses the history and current state of Teaching Health Centers (THCs), which provide primary care medical residency training in community and rural health centers. Key points:
- THCs were established in 2010 under the ACA to expand GME outside of hospitals. There are now 44 THC programs across 21 states.
- THCs receive funding through 2015 from HRSA, but this funding will expire without reauthorization. Current residents may not complete training if funding lapses.
- Legislation has been introduced to extend THC funding for 5 more years, but long-term support is still uncertain. The program shows promise for training more primary care physicians for underserved areas.
Greenway Summary Of The American Recovery And Reinvestment Act Of 2009 (2)tguilford
The document summarizes key provisions of the American Recovery and Reinvestment Act of 2009 related to health information technology. It allocates over $20 billion for health IT development, including incentives for providers to adopt electronic health records. It establishes standards and certification criteria for health IT and provides funding to encourage healthcare providers' meaningful use of certified electronic health records.
District Layyah Budget Trends Analysis for Advocacy by LR 19042015DUNYA NEWS
The document analyzes the medicines budget for the district of Layyah, Punjab from 2010-2015. It finds that over this period, the budget demanded increased but the budget allocated, released, and utilized all decreased. Specifically, the medicines budget allocated for 2014-2015 was Rs. 58.06 million compared to Rs. 74.73 million in 2010-2011. This represents only a 35% allocation against the demand that year. The document also notes per capita health spending is very low in Layyah compared to international standards and recommends increasing budget allocations and ensuring full utilization to improve healthcare.
NHS finances: the challenge all policital parties need to face - charts and t...The Health Foundation
The document discusses NHS finances and the challenge of funding the NHS that all political parties must address. It provides historical data on UK public spending on health from 1949 to 2014, which shows spending increasing from 3.6% to 7.5% of GDP. The document also examines projections for NHS funding pressures, estimating a funding gap of £108 billion by 2030 if productivity does not increase. Maintaining productivity growth could reduce the gap but would require unprecedented long-term improvement. All parties will need to decide how best to fund growing demands on the healthcare system.
IMPLEMENTATION OF A SUCCESSFUL HEALTH MANAGEMENT STRATEGYHuman Capital Media
Cherokee County, Georgia, Board of Commissioners together with their consultant, Insurance Office of America, began the process of developing a health management strategy, or HMS, for their self-funded employee benefits program. The county’s plan was bundled with a national carrier and had been in the red financially for many years. The objectives were to reduce spend in the health plans without reducing coverage nor increasing employee premiums. Further, it was the county’s desire to maintain the current network of providers, to improve engagement with their health plan members and to improve the overall perception of the employee benefits program. The county’s final goal was to then develop a long-term strategic plan for their employee benefits program. Developing and deploying an HMS is an integral part of the solution because it is designed to allow for the bolt-on application of new, creative, risk-management-type vendors who could add value to the plan while lowering spend for the county. This was achieved by unbundling services from the carrier and implementing six new best-in-class vendors enhancing coverage where all but one was voluntary in nature, meaning the health plan members didn’t have to use them.
Learning Objectives/Session Takeaways:
Innovative health management strategy designs for self-funded plans.
Change management: buy-in from key stakeholders, reccurring education and strategic communications to plan members.
Top talent: Authentic teamwork and partnership are key.
HSFR/HFG End of Project Regional Report - TigrayHFG Project
The document summarizes health care financing reforms supported by the USAID-funded HSFR/HFG project in the Tigray region of Ethiopia. Key achievements include:
1) Increasing the number of health facilities with functional governing boards and management committees to improve governance and use of retained revenue.
2) Doubling the amount of revenue retained and utilized by health facilities over three years through the revenue retention and utilization reform.
3) Expanding community-based health insurance (CBHI) to cover 69% of woredas and over 1 million beneficiaries, increasing resources mobilized through the program to over 141 million birr.
Malawi Mid-Year Review 2014-2015 Health Sector Overviewmohmalawi
The document summarizes the mid-year review of Malawi's health sector for the period of July-December 2014. It outlines key highlights including a continued focus on maternal, neonatal and child health as well as responding to emergencies like floods, cholera outbreaks, and the Ebola threat. It provides details on health sector financing, performance of health systems and service delivery, and reforms being pursued to improve quality and efficiency. Overall resources for the 2014/15 fiscal year were mapped at MK278.8 billion, with the government contributing 92% of the required funding for the health sector pool.
The document summarizes a presentation on updates related to Medicare Advantage. Key points from the presentation include:
1) Increasing reporting requirements in 2010 for Medicare Advantage plans related to care quality measures, medication therapy management, and data validation.
2) New requirements for Medicare Advantage plans to have a model of care that improves health outcomes and care coordination for enrollees.
3) Potential impacts of proposed health care reform legislation on Medicare Advantage, including changes to payments to plans tied to quality bonus payments and competitive bidding.
The National Association of Counties' 2013 Steering Committee outlined four key legislative priorities for health: maintaining the Medicaid federal-state-local partnership and opposing cuts or cost shifts to counties; assuring ongoing support for the Prevention and Public Health Fund and opposing cuts to it; permitting federal health benefits coverage for persons in county jails pending charge disposition; and supporting full funding for SAMHSA programs including the CMHS and SAPT Block Grants that provide direct health services.
Carrie Banahan, Kentucky Health Benefit Exchange, presented on KYNECT: Kentucky's Healthcare Connection at the State Legislative Conference on November 6, 2015.
The document discusses reforms to North Carolina's mental health, developmental disability, and substance abuse services system. It notes the goals of reform are to control finances, increase local governance and accountability, and reduce reliance on institutions. Key components of reform include counties managing services through Local Management Entities (LMEs), developing evidence-based practices, and downsizing hospitals. However, challenges remain around access to services, funding inequities, workforce issues, and measuring quality. Opportunities exist to improve the system through consensus-building, quality monitoring, and advocacy.
The document summarizes rural health policy issues and reform efforts. It discusses the National Rural Health Association's mission and priorities for health reform, including addressing workforce shortages, ensuring equitable reimbursement for rural providers, investing in rural health infrastructure, and correcting health disparities. It also provides an overview of various legislative proposals and amendments focused on improving access to care in rural America.
The document is a project implementation plan for Orissa's National Rural Health Mission for 2008-09. It provides demographic and health infrastructure details for Orissa and summarizes important state health initiatives. Budget details are given for maternal health, child health, immunization, family planning, adolescent health, urban health, tribal health, and vulnerable groups. Key activities proposed include increasing institutional deliveries, strengthening referral transport, expanding training of health workers, and improving access to health services for rural populations.
Overview of Mental Health Budget and Policy Initiatives for the 2006 Legislat...MHTP Webmastere
Overview of Mental Health Budget and Policy Initiatives for the 2006 Legislative Session
This presentation by David Knutson of the Washington State House of Representatives provides a basic road map of
mental health budget and policy initiatives for 2006
Overview of Mental Health Budget and Policy Initiatives for the 2006 Washingt...guestbf1381
Overview of Mental Health Budget and Policy Initiatives for the 2006 Legislative Session</strong><br />
This presentation by David Knutson of the Washington State House of Representatives provides a basic road map of
mental health budget and policy initiatives for 2006.
Ca plan stakeholder meeting presentation 10.21.10andreafletcher
This document summarizes the agenda and content of a stakeholder meeting to discuss the development of the 2011-2015 Maine Comprehensive Cancer Control Plan. The meeting agenda covered an evaluation of the previous 2006-2010 plan, the process of developing the new 2011-2015 plan, and breakout sessions on different aspects of the cancer continuum. It also discussed the transition of the Maine Cancer Consortium to a 501(c)(3) non-profit organization in order to seek additional funding and further its mission of reducing the cancer burden in Maine.
Ca plan stakeholder meeting presentation 10.21.10andreafletcher
This document summarizes the agenda and content of a stakeholder meeting to discuss the development of the 2011-2015 Maine Comprehensive Cancer Control Plan. The meeting agenda covered an evaluation of the previous 2006-2010 plan, the process of developing the new 2011-2015 plan, and breakout sessions on different aspects of the cancer continuum. It also discussed the transition of the Maine Cancer Consortium to a 501(c)(3) non-profit organization in order to seek additional funding and further its mission of reducing the cancer burden in Maine.
Medpac Report to Congress (2015)- Medicare Payment PolicyDr Dev Kambhampati
The document is a report from the Medicare Payment Advisory Commission (MedPAC) to Congress on Medicare payment policy. MedPAC is an independent agency that advises Congress on issues affecting the Medicare program. The report provides recommendations on updating payments in Medicare's traditional fee-for-service program and the Medicare Advantage program. It finds that Medicare payments are generally adequate but costs are still rising, and it recommends no payment updates for some services to control spending growth while ensuring access to care.
The Impact of Proposed MU Rule Changes 2015 2017MassEHealth
The presentation summarizes proposed changes to the Meaningful Use program for 2015-2017 outlined in a CMS Notice of Proposed Rulemaking. Key changes include shortening the EHR reporting period to 90 days in 2015, reducing the total number of objectives from 13-17 down to 10 for both Stages 1 and 2, and adjusting the timeline so all providers can attest to Stage 3 by 2018. The goals are to better align the stages, streamline redundant measures, and simplify the transition between stages, without requiring new technology functionality. The impact on providers would be minimal changes to workflow and movement toward continued practice transformation.
This report is written for the Board of Directors of the Nazarene Community Health Clinic (NCHC). It outlines the importance and necessity of quality management as it pertains to the health care reform’s mandate that all Americans have access to quality, affordable health care.
The document summarizes changes to the Money Follows the Person Rebalancing Demonstration Program as a result of the Affordable Care Act. It extends program funding through 2016 and expands eligibility to individuals residing in institutions for over 90 days rather than just 6 months. It continues providing grants, technical assistance, and an enhanced Medicaid match rate to help states transition more people from institutions to home and community-based services.
Vermont has passed health care reform legislation aiming to achieve universal coverage, improve quality, and reduce costs. A legislative commission will receive options from a consultant by February 2011 for single-payer or public option insurance systems. The Director of Payment Reform will also propose payment reform pilots by February 2011 to align reimbursement with coordinated care through medical homes and community health teams. The overall goals are improving access, quality, and affordability through delivery system reform and payment incentives.
This document provides a summary of a 2011 community health needs assessment conducted in Wexford and Missaukee counties in Michigan. It describes the process, findings, and recommendations. Key findings include high rates of poverty, lack of access to healthcare, and chronic health issues like diabetes and respiratory disease. Mental health and substance abuse were also areas of concern. The assessment identified poverty as a root cause impacting many health issues. It recommended addressing gaps in chronic disease management, care coordination, prevention education, and related social determinants of health.
Intergovernmental fiscal transfers for health in India aim for equity but can be improved. A review found the National Health Mission grants had limited flexibility. State utilization of central transfers varied unevenly. Finance Commission equalization grants had limited impact on reducing disparities. Performance-based grants from the 13th Finance Commission rewarded states inconsistently and did not account for population differences. Overall, fiscal transfer design in India could be simplified and better incentivize improved health outcomes.
Health financing in bangladesh why changes in public financial management rul...HFG Project
Bangladesh has achieved remarkable improvement in health indicators since its independence in 1971, despite poor economic conditions. It achieved Millennium Development Goal 4 on child mortality and progressed substantially toward Goal 5 on maternal mortality, even with health system bottlenecks such as weak governance, insufficient health financing, and limited capacity to address local need. In a country with a history of adopting low-cost strategies with high health impact, focusing on primary health care—even with limited resources—was the single most important factor in these achievements.
This document outlines a health system development programme in Myanmar from 2006-2011. It had three main objectives: 1) Promote health systems research to improve performance; 2) Explore sustainable health financing mechanisms; 3) Expand international cooperation. The programme included three projects: 1) Health systems research; 2) Developing alternative financing; 3) International health cooperation. It identified strengths like disseminating research and developing tools, but also weaknesses like lack of funding and dissemination of findings. The programme aimed to address gaps in service delivery, coordination, and human resources to improve access to essential health services.
Health System Reforms to Accelerate Universal Health Coverage in Côte d'IvoireHFG Project
The document summarizes health system reforms in Côte d'Ivoire to accelerate progress toward universal health coverage. Key reforms include improving funding and financial management through increased domestic resource mobilization and transparency measures. Service delivery is being strengthened by expanding maternal and child health services and ensuring drug availability. Governance is also being strengthened through audits of management risks and training inspectors to apply standardized financial controls at local levels.
Speaker presentation from U.S. News Healthcare of Tomorrow leadership summit, Nov. 17-19, 2019 in Washington, DC. Find out more about this forum at www.usnewshot.com.
A critical analysis of purchasing mechanism in China's Rural Health Insurance...resyst
This presentation was given at the International Health Economics Association (iHEA) World Congress in Milan, in July 2015. It includes results and policy implications from the RESYST Purchasing Study conducted in China.
Federal Health Reform Overview & Considerations for the Oregon Health Policy ...DHS Communications
The document provides an overview of the federal health reform law and its implications for Oregon. Key points include:
- The law significantly increases funding for prevention, community health centers, and delivery system reforms. It also expands Medicaid and provides subsidies for private insurance.
- This creates opportunities for Oregon but also challenges around implementing the insurance exchange, determining essential health benefits, and ensuring adequate health workforce.
- Oregon faces many decisions around how to implement the law, such as whether to set up its own exchange, explore a public plan option, expand coverage early, and pursue other state-level reforms.
The FMBHP is a collaboration among frontier/rural healthcare communities; Mineral Community Hospital’s Interdisciplinary Medical Education Center; iVantage, an industry leader providing comprehensive hospital evaluation tools; Mayo Clinic’s Practice-Based Research Network (PBRN); and the Appalachian Osteopathic Postgraduate Training Institute Consortium (A-OPTIC). The FMBHP will partner with CMS, IHS, Veteran Administration and other private insurers to develop a seamless and sustainable model of patient-centered and community-based healthcare that produces better outcomes cost-effectively.
This document summarizes a webinar presented by CMS/CMMI on health equity updates to the ACO REACH Model. The webinar covered new policies being introduced in PY2023 to promote health equity, including a requirement for ACOs to develop a Health Equity Plan, a benchmark adjustment for ACOs serving underserved populations, data collection on beneficiary demographics and social determinants of health, a benefit enhancement for nurse practitioner services, and consideration of health equity in the application scoring process. The webinar also reviewed the model goals, timeline and upcoming opportunities for questions.
Similar to Green Mountain Care Board -Fiscal year 2016 budget request~2-18-2015 (20)
Unlocking the Secrets to Safe Patient Handling.pdfLift Ability
Furthermore, the time constraints and workload in healthcare settings can make it challenging for caregivers to prioritise safe patient handling Australia practices, leading to shortcuts and increased risks.
Get Covid Testing at Fit to Fly PCR TestNX Healthcare
A Fit-to-Fly PCR Test is a crucial service for travelers needing to meet the entry requirements of various countries or airlines. This test involves a polymerase chain reaction (PCR) test for COVID-19, which is considered the gold standard for detecting active infections. At our travel clinic in Leeds, we offer fast and reliable Fit to Fly PCR testing, providing you with an official certificate verifying your negative COVID-19 status. Our process is designed for convenience and accuracy, with quick turnaround times to ensure you receive your results and certificate in time for your departure. Trust our professional and experienced medical team to help you travel safely and compliantly, giving you peace of mind for your journey.
Mental Health and well-being Presentation. Exploring innovative approaches and strategies for enhancing mental well-being. Discover cutting-edge research, effective strategies, and practical methods for fostering mental well-being.
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Green Mountain Care Board -Fiscal year 2016 budget request~2-18-2015
1. Susan Barrett, Executive Director
Kate Jones, Financial Director
Fiscal Year 2016 Budget Request
Al Gobeille, Chair
G R E E N M O U N T A I N C A R E B O A R D
2. 2
Green Mountain Care Board
Budget Development
Paul Rousseau CPA
AoA Chief Financial Officer
James Nash CPA
AoA Deputy Chief Financial Officer
Jason Pinard
Financial Director II
Bradley Kukenberger
Financial Director II
Fiscal Year 2016 Budget Request
Al Gobeille, Chair
Susan Barrett, Executive Director
Kate Jones, Financial Director
4. 4
Green Mountain Care Board
Executive Summary
Philosophy
The philosophy of the Green Mountain Care Board flows
from Act 48 of 2011, which calls for significant change in
the way health care is delivered and paid for to ensure
access to high quality health care for all Vermonters at a
cost that we, as a state, can afford.
The Green Mountain Care Board has three broad roles: It
is a Regulator, an Innovator, and an Evaluator of
Vermont’s health care system.
Objectives
The objectives of the Green Mountain Care Board are:
Vermont’s health care system will be both of the
highest quality and affordable for the state as a
whole, and for individuals, families and businesses;
Vermont’s public policies, health care financing
and health care delivery system will encourage
Vermonters to attain and maintain good health;
In seeking to promote good health, we will
examine the full range of factors that influence
both the physical and the mental health of our
population;
Vermont’s public policies, health care financing
and health care delivery system will attract high
quality health care practitioners to the state and
support them in providing high-quality care;
Vermont’s system of health care financing and
administration will be as simple, transparent and
integrated as possible and will minimize
administrative burden on individuals and health
care professionals.
Key Initiatives
The Green Mountain Care Board’s key initiatives for FY
2016 include:
Payment and delivery reform – the GMCB oversees
development and implementation of new forms of
payment for, and delivery of, health care services that
encourage both health care providers and patients to
promote health and affordability. This involves
collaborating with hundreds of stakeholders on “pilot
projects” around the state, and dedicating considerable
5. 5
Board and staff time to implementation of the State
Innovation Model grant, now named the Vermont Health
Care Innovation Project.
Health Insurer rate review: The GMCB regulates
comprehensive major medical health insurance rates to
ensure that Vermonters pay a fair price for quality health
care coverage.
Hospital budgets: The GMCB regulates hospital budgets
for Vermont’s 14 community hospitals. The GMCB
establishes policies on net patient revenue, community
needs assessments, physician transfers, and
enforcement. Approximately 45% of physician health
care expenses are within hospital budgets.
Review of major health care capital expenditures: The
GMCB is responsible for review of certificates of need for
major health care capital expenditures and changes in
health care services.
Work to improve data and analytic resources: The
GMCB maintains the State’s all-payer claims database
(VHCURES) and the Unified Hospital Discharge Data Set.
Preparation for Green Mountain Care roles: The ongoing
work of the GMCB will inform its evaluation regarding
proposals for benefits and funding in the Green Mountain
Care health system.
Public engagement: The GMCB’s public engagement
plan includes maintaining an Advisory Committee,
actively seeking public involvement in the Board’s work,
including at public meetings, and producing consumer-
friendly materials for the web and in print.
All-Payer Model Proposal: The GMCB will work in
partnership with the Agency of Administration and the
Agency of Human Services to develop an all-payer
model proposal and a waiver proposal to enable
Medicare’s participation in such a model. This model will
establish a framework, across all payers and providers, for
advancing and appropriately overseeing payment
models that are more rational, fair, and transparent, and
that support improved outcomes.
Rate Setting: Act 48 gives the GMCB authority to set
provider payment rates. In FY16, the GMCB will begin
implementing a rate setting division with the addition of
eight new staff members as well as contractual support.
Funding Levels
The FY 2016 budget request to the General Assembly
reflects anticipated costs for the fourth full year of GMCB
operations.
7. Special Miscellaneous
General Global (Health Insurance Interdepartmental Grant Fund Federal Total
Fund Commitment Supr. & Reg.) Transfer (RWJ Grant) Fund
Green Mountain Care Board: FY 2015 (As Passed) 635,193 2,626,782 1,392,045 3,482,593 165,034 0 8,301,647
Base Salary changes 71,673 197,658 (99,104) (124,049) (116,692) 249,757 179,243
Base Benefit changes 21,099 97,037 (36,809) (28,392) (36,389) 88,716 105,262
9 New Positions 287,156 173,059 302,854 763,069
Change in Other Contracts and 3rd Party Services 921,909 502,687 1,164,787 (485,776) 678,654 2,782,261
Change in Rent Land & Bldgs - Office Space (38,468) 70,898 45,895 17,753 (5,387) 19,381 110,072
Change in Vision Allocation 21,903 21,903
Change in Telecom and IT charges (17,529) 17,432 (97)
Change in Travel Expenses 17,721 17,721
Change in Agency Fee (63,281) (63,281)
Change in Human Resources Services charge (10,989) 7,604 (3,385)
Change in Office Supplies 5,923 5,923
Change in Hardware-Desktop & Laptop PCs 14,346 5,772 2,546 2,778 25,442
Change in Other Equipment 11,401 3,426 2,390 2,608 19,825
Change in Equipment for Other Agencies 43,373 18,797 7,271 7,935 77,376
Change in Grants (40,000) (300,000) (137,000) (477,000)
All adjustments (11,010) 25,438 6,889 18,204 (6,566) 19,637 52,592
Subtotal of increases/decreases 1,142,463 1,184,577 1,112,507 (727,053) (165,034) 1,069,466 3,616,926
FY 2016 Governor Recommend 1,777,656 3,811,359 2,504,552 2,755,540 0 1,069,466 11,918,573
Fiscal Year 2016 Budget Development Form - Green Moutain Care Board
7
9. FY16 Appropriations Committee Questionnaire
9
Green Mountain Care Board
1.
a. What are your programs?
The Green Mountain Care Board (GMCB) was created under Act 48 of the 2011 Vermont legislative session. The GMCB is
responsible for implementing major components of the state’s health care reform agenda, including mechanisms for controlling
health care cost growth and improving health, ensuring adequate health care provider supply, and ensuring that benefits provided
through a universal, uniform system support the needs of Vermonters and promote good health.
The Legislature assigned the GMCB three broad areas of responsibility: Regulation, Innovation, and Evaluation. Specific duties,
which often cut across these broad responsibilities, include:
Payment and delivery system reform: Develop, implement and evaluate health care payment and delivery system reforms
designed to control the rate of growth in health care costs and maintain health care quality in Vermont.
Health insurer rate review: Beginning January 1, 2014, the Legislature has assigned GMCB broader responsibility to approve,
modify, or disapprove requests for major medical health insurance rates within 90 days of receipt of a filing, taking into
consideration the requirements in the underlying statutes, changes in health care delivery, changes in payment methods and
amounts, and other issues at the discretion of the board.
Hospital budget approval: Review and establish hospital budgets annually, including setting targets for hospitals and
monitoring progress during the year.
Review of major health care capital expenditures (began January 1, 2013): Review and approve, approve with conditions, or
deny applications for certificates of need.
Exchange benefits approval: Review and approve, with recommendations from the Commissioner of the Department of
Vermont Health Access, the benefit package or packages for qualified health benefit plans to be offered in Vermont’s Health
Benefit Exchange (in accordance with the federal Affordable Care Act).
Vermont health system Dashboard: Develop and maintain a method for evaluating Vermont health system performance and
quality.
Health information technology: Review and approve Vermont's statewide health information technology plan to ensure that
the necessary infrastructure is in place to enable the state to achieve its health reform goals.
Health care workforce policy: Review and approve the state’s health care workforce development strategic plan.
Health planning: Review the state’s health resource allocation plan.
Provider rate-setting: Set rates for health care professionals, to be implemented over time, and make adjustments to the
rules on reimbursement methodologies as needed.
10. FY16 Appropriations Committee Questionnaire
10
b. How do these programs meet your core mission?
The Legislature created the GMCB in 2011. The GMCB was given broad authority over health policy making, and is expected to
provide for better cohesion of policy across previously separate elements of the health system, a higher level of accountability for
outcomes, and improved transparency in regulatory processes. According to the GMCB’s enabling statute (18 VSA § 9372):
“It is the intent of the general assembly to create an independent board to promote the general good of the state by:
1. Improving the health of the population;
2. Reducing the per-capita rate of growth in expenditures for health services in Vermont across all payers while ensuring that
access to care and quality of care are not compromised;
3. Enhancing the patient and health care professional experience of care;
4. Recruiting and retaining high-quality health care professionals; and
5. Achieving administrative simplification in health care financing and delivery.”
It is the mission of the Green Mountain Care Board (GMCB) to regulate, innovate, and evaluate within Vermont’s changing health
care system to improve the health of the population, provide access to high quality health services for all residents of the state, and
ensure the affordability of health care by reducing the rate of growth in health care costs.
In short, GMCB’s mission is to create a more integrated, high value Vermont health system to replace the current patchwork of
disconnected entities and conflicting economic incentives.
In Fiscal Year 2016, the GMCB has the following priorities:
1. Continue to develop meaningful health care cost containment through payment and delivery system reform and improved
regulatory oversight specifically through the development of an all-payer model proposal including a proposal to CMS for a
waiver to allow for Medicare participation;
2. Continue to operate as a regulatory body and explore an enhanced regulatory role;
3. Continue to improve our ability to objectively monitor and evaluate Vermont health reform efforts; and
4. Planning for and potentially implementing all-payer rate setting authority.
2.
a. What does success in each program look like to Vermonters both those served by the program and the general
population?
11. FY16 Appropriations Committee Questionnaire
11
Success in each program will be overall improvement in the health of Vermonters and establishment of an affordable, sustainable
rate of growth in health care costs.
b. What performance measures are used to determine progress and what baseline data is available (current and
proposed budget, # served, etc.)?
The GMCB evaluates progress in several ways: one is with its annual report to the Legislature (found here:
http://gmcboard.vermont.gov/resources_reports). Another way to evaluate its progress is through its “Dashboard 2.0”, which can
be found at: http://gmcboard.vermont.gov/dashboard2.
The GMCB collects data on and tracks the outcomes of its regulatory work in the areas of Rate Review, Hospital Budgets, and
Certificate of Need projects.
As part of the development of payment reform pilot projects, the GMCB has identified specific measures of quality, patient
experience, and cost that will be used to evaluate the pilots. The GMCB formed a broadly-representative Accountable Care
Organization (ACO) quality measures working group that developed recommendations during 2013 for quality measures to be used
in evaluating ACOs participating in Medicaid and Commercial insurance shared savings programs. The federal Centers for Medicare
and Medicaid Services require reporting on 33 measures of Medicare ACO performance. The GMCB’s work group recommended
appropriate modifications to these measures as the ACO model expands to Medicaid and private insurance. This group will continue
its work under the State Innovation Model grant Quality and Performance Measures work group.
Through the State Innovation Model grant, the GMCB shall continue to support comprehensive internal and independent evaluation
of payment and delivery system reforms. This provides an additional level of measurement for this programmatic area.
Budget details:
The GMCB’s work affects all Vermonters – and it receives external grant support not only for this reason but also for the potential of
this work to create national models. The GMCB receives funds from four sources: the General Fund; the Global Commitment; bill-
backs for specific regulatory functions, and; grants from outside sources. These funds support the Board’s operations and staffing,
including staffing for the hospital budget review process and review of health insurer rate increase requests. The funds also support
consulting contracts to analyze health care data, model changes in health care payment and delivery, and support the Board’s
decision-making.
12. FY16 Appropriations Committee Questionnaire
12
The GMCB’s FY16 budget reflects an increase in staff and contracts. The proposed FY16 budget provides funding to support the
implementation of an all-payer Rate Setting Division by way of the addition of 8 staff and contractual support and an all-payer
waiver proposal. The budget also reflects funding to support the enhancement of the GMCB’s regulatory role and seeks to add 1
position along with consulting support to focus on this work. The GMCB currently receives support in its budget through multiple
Memorandums of Understandings with the Agency of Human Services for activities tied to the Vermont Health Care Improvement
Project, the Vermont Health Connect and Health Care Payment Reform.
The chart below shows the GMCB’s FY16 budget:
Department Positions
FY15 Estimated
Expenditures
FY16 Proposed
Expenditures
Green Mountain Care Board
Currently 28,
37 Requested in FY16
9,308,933 11,918,573
General Fund 792,263 1,777,656
Special Fund 1,496,200 2,504,552
Global Commitment 2,699,237 3,811,359
Interdepartmental Transfer 2,502,142 2,755,540
Federal Fund 1,891,546 1,069,466
Expenses by Category
Personal Services: Personnel Salary and Fringe 3,134,441 3,765,190
Personal Services: Third Party Contracts 5,800,550 7,514,594
Operating Expenses 373,942 638,789
3. Is there a better way?
The various performance measurement activities listed above are appropriate for the GMCB.
14. 14
Green Mountain Care Board
Mission Statement
It is the mission of the Green Mountain Care Board (GMCB) to regulate, innovate, and evaluate Vermont’s changing
health care system to improve the health of the population, provide access to high quality health services for all residents
of the state, and ensure the affordability of health care by reducing the rate of growth in health care costs.
Goals
The GMCB’s specific goals are:
1. To improve the health of Vermont’s population;
2. To reduce the rate of growth in health care expenditures;
3. To ensure that all Vermonters have access to high-quality care;
4. To enhance the patient and health care professional experience of care;
5. To assure an adequate supply of health care professionals in the state;
6. To achieve administrative simplification in health care financing and delivery.
Market
The Green Mountain Care Board exists to serve all Vermonters by improving the state’s health care system and supporting
policies that promote affordability and health improvement for all Vermonters.
Programmatic Changes
Act 48 gives the GMCB authority to set provider payment rates. In FY16, the GMCB will begin implementing a rate setting
division with the addition of eight new staff members as well as contractual support.
Beginning in the winter of 2015, the GMCB will work in collaboration with Vermont’s Health Care Innovation Project team,
the Department of Health Access and the Office of Health Care Reform to develop an All Payer model and seek a
15. 15
waiver to enable Medicare’s participation in such a model. This model will establish a framework, across all payers and
providers, for advancing and appropriately overseeing payment models that are more rational, fair, and transparent,
and that support improved outcomes.
The GMCB will also work to expand upon the State’s all-payer claims database (VHCURES) and the Unified Hospital
Discharge Data Set.
Capital Needs of the Program
The GMCB has no additional capital needs for FY 2016.
33. Al Gobeille,
Board ChairCornelius Hogan,
Board Member
Betty Rambur,
Board Member
Allan Ramsay,
Board Member
Jessica Holmes,
Board Member
Anna Bassford,
Executive Assistant
Pat Jones,
Health Care Director
Spenser Weppler,
Health Reform
Specialist
Richard Slusky,
Director of Payment
Reform*
Susan Barrett,
Executive Director
Ena Backus,
Deputy Executive
Director
Dian Kahn,
Analysis & Data
Director
Christine Geiler,
Grants & Stakeholder
Coordinator
Annie Paumgarten,
Evaluation Director
Zachary Sullivan,
Health Policy Analyst
Mike Davis,
Director of Health
Systems Finances
Lori Perry,
Senior Financial Policy
Analyst
Janeen Morrison,
Financial
Administrator II
Judith Henkin,
Health Policy
Director
Mike Donofrio,
General Counsel
Kate Jones,
Financial Director
Janet Richard,
Administrative Services
Coordinator III
Sharon Degreenia,
Administrative
Assistant B**
Monica Buzzell,
Financial
Administrator II
Thomas Crompton,
Program Management
Specialist
Kelly MacNee,
Health Policy Analyst
Donna Jerry,
Senior Health Policy
Analyst
Brian Martin,
Associate General
Counsel
Green Mountain Care Board
Organizational Chart January 2015
Stacey Murdock,
Data & Information
Project Director
* Reports to Board Chair
** Temporary Position33
35. Department:
Federal Receipts
Budget Request
Code Fund Justification Est Amount
4893 22005 CFDA # 93.511; Vermont Rate Review Enhancement Project $1,069,466
Total $1,069,466
Interdepartmental Transfer Receipts
Department:
Budget Request
Code Fund Justification Est Amount
4899 21500 BU 03410; Department of VT Health Access $2,755,540
Total $2,755,540
3330010000 - Green Mountain Care Board
State of Vermont
3330010000 - Green Mountain Care Board
35
37. Green Mountain Care Board
Carryforward Projections
Final FY 2015 FY 2015 Estimated
Carryforward Appropriated Estimated Carryforward
Program 6/30/2014 Funding Expenditures 6/30/2015
General Fund:
Green Mountain Care Board $157,070 $635,138 ($792,208) ($0)
Total General Fund: $157,070 $635,138 ($792,208) ($0)
TOTALS: $157,070 $635,138 ($792,208) ($0)
State of Vermont
37
39. Unit FY 14 Targets FY 14 Actuals FY 15 Targets
3330010000_01_001
New $ allowed 3 0 3
3330010000_01_002
% Share GSP 3 0 3
FY2014 Actuals
FY2015 Original
As Passed
Budget
PERSONAL_SERVICES 6,530,823 7,454,787
OPERATING 358,175 369,860
GRANTS 40,000 477,000
6,928,998 8,301,647
6,928,998 8,301,647Total Program Cost: 8,301,647 11,918,573
Grants 477,000 0
Total Appropriation 8,301,647 11,918,573
Personal Services 7,454,787 11,280,973
Operating Expenses 369,860 637,600
Controling health care spending as share
of gross state product
3 3
Program Budget:
FY2015 Governor's
BAA
Recommended
Budget
FY2016
Governor's
Recommended
Budget
Objective: Control the rate of growth in health care spending.
Measures FY 15 Estimate FY 16 Targets
Comparison of Net Patient Revenue for
Vermont's 14 community hospitals against
target established by the GMCB and/or
trend.
3 3
Performance Measure Detail
Appropriation: 3330010000 Green Mountain Care Board
State of Vermont
39