2. BASIC FRAMEWORK 3. BASIC FRAMEWORK Healthcare reform is being
implemented across the U.S. This was done in an effort to reduce
spending on Healthcare andincrease quality Healthcare spending has
increased by 10% from 1971 and is nowat $2.5 trillion 4. BASIC
FRAMEWORK A larger portion of the U.S. population is uninsured
orunderinsured About 50,000 people in Vermont are uninsured and
150,000 areunderinsured Due to this Governor Shumlin has set four
overarching goals anda total of sixteen strategies to improve these
conditions 5. BASIC FRAMEWORK Goal 1: Reduce health care costs and
cost growth 1. Develop a health care budget that is economically
sustainable 2. Reduce administrative cost 3. Implement innovations
for payment design and encourage providers toreduce costs of care
4. Better manage care for individuals with chronic conditions 5.
Maximize federal funding to support coverage of health care
services inVermont 6. BASIC FRAMEWORK Goal 2: Assure all Vermonters
have access to and coverage for high-quality health care6. Cover
uninsured individuals7. Increase enrollment and retention in
coverage8. Assess adequacy of health care workforce9. Define a
minimum standard of benefits 7. BASIC FRAMEWORK Goal 3: To improve
the health of Vermonts population10. Assure all individual have
access to high quality and coordinatedpreventative services by
improving the integrated health services model11. Evaluate and
improve health care delivery by expanding the learninghealth
system12. Assure access for all working individuals to healthy
worksites,employee assistance and other community support for
healthmanagement13. improve the health of school children by
implementing theCoordinated School Health Model recommended by the
CDC14. Support Vermont communities to respond to specific public
healthchallenges 8. BASIC FRAMEWORK Goal 4: To assure greater
fairness and equity in how we pay for healthcare15. Gain passage of
legislation and approval of a federalwaiver for public financing
that is separate from employment andgives individuals the ability
to pa for coverage that is moresustainable16. Reduce cost shifting
between public and private sectors andbetween segments of the
private sector 9. FUNDING SOURCES 10. HOUSE BILL 202 (H202)
Governor Peter Shulman signed House Bill 202 on May 26, 2011which
implemented a single-payer health system in Vermont Single-payer
systems are based on residency, which createsnatural mechanisms for
universal coverage 11. SINGLE-PAYER SYSTEMS Basic benefits provided
to all citizens through one publicallyfinanced insurance fund which
pays providers under uniformmechanisms and rates Funded through
payroll taxes and includes generous benefitpackages. Payroll taxes
are split 75 percent for employers and 25 percent foremployees,
with exemptions for small businesses and low-wage workers
andfamilies with income below 200 percent of the federal poverty
level 12. MEDICAID AND MEDICARE Medicaid and Medicare are to
function as before Goals of Vermont Health Care reform include
maximizingcoverage by Medicaid and encouraging those eligible
forMedicaid to enroll for coverage 13. COST OF THE PROGRAM 14. COST
OF THE PROGRAM Main goal is to reduce the overall cost of
Healthcare Vermont spends $5 billion on its healthcare currently,
and thatmoney needs to be spent in a more smart way. Smart ways to
spend the $5 billion dollars to make surehealthcare is more
efficient in future. The state has various goals and strategies to
help them with costreduction 15. COST OF THE PROGRAM $400 million
in tax credits will take some of the burden off Application to the
state government was submitted for $118million Vermont is moving
away from the traditional fee-for-servicemethod Global budget
methods are being introduced 16. COST OF THE PROGRAM Four main
Goals of the new Health care 17. COST OF THE PROGRAM Goals Reduce
Healthcare Cost and Cost Growth Assure that all Vermonters have
access to and coverage for high quality care Assure greater
fairness and equity Improve the health of the Vermonts population
Each goal has various strategies. 18. ACCESS TO
HEALTHCAREhttp://nhop.org/wp-content/uploads/2010/09/Improving-Access.jpg.
Cached: February 27,2013. Accessed: March 9,2013 19. ACCESS TO
HEALTHCARE Number of Uninsured Vermont: 55,300 10% of the state
population United States: 47,921,500 18% of the national population
20. ACCESS TO HEALTHCARE Increasing the insured population PPACA
insurance markethttp://healthconnect.vermont.gov/ 21. ACCESS TO
HEALTHCARE Evaluate and improve the healthcare workforce Senator
Bernie Sanders (VT) Plan Currently there are 8 Community Health
Centers for 11 counties in Vermont. Each County should have its own
Health Center. 22. ACCESS TO HEALTHCARE Minimum Standards of Care
Set a baseline of care which will be covered under all insurance
plans. Provides at least a minimum of service for individuals to
maintain a healthy lifestyle. Promotes preventive health practices
to lower the costs of care. 23. EFFECT OF THE PROGRAM Employers
Employees Providers Uninsured 24. EFFECT OF THE PROGRAM PROVIDERSo
Reductions in administrative tasks for physicians and
otherhealthcare providers.o Increased focus on the delivery of
Quality care.o Increased autonomy in clinical decision-making Best
medical practice vs. Patients financial conditionso Decline in
overhead expenseso Potential for Reduced malpractice premiums 25.
EFFECT OF THE PROGRAM EMPLOYERSo Reduction in financial burden on
employers. Lower insurance premiums leads to increased financial
resourceso Creates a level playing field for all businesses, in
terms ofhealthcare financingo Prevents the shifting of costs to
employers Lower insurance premiums 26. EFFECT OF THE PROGRAM
EMPLOYEESo Increased access to health care for people. Removal of
financial barrierso Increased quality care via preventive
services.o Autonomy in choosing healthcare providers and
healthplans.o Portability of health coverage plans Health coverage
remains constant even when people change jobs, change marital
status or relocate to different homes. 27. EFFECT OF THE PROGRAM
UNINSUREDo Access to health care Vermonts single-payer system
covers everyoneregardless of their age, income and
employmentstatus, thus ensuring that the rate of uninsuredpeople is
significantly reduced or eliminated in thestate 28. LITERATURE
CITED Bernie sanders u.s. senator for vermont: Health care. (2013).
Retrieved
fromhttp://www.sanders.senate.gov/legislation/issue/?id=a5823331-b1c8-46a1-864f-a5986cf82a9b
Insurance Journal (July, 2012). Vermont Governor Hails Healthcare
Ruling, Pushes Bigger Plan. Retrieved
from:http://www.insurancejournal.com/news/east/2012/07/02/254158.htm
Lunge, R. J. (2012). Strategic Plan for Vermont Health Reform.
Vermont.gov. Retrieved
fromhttp://hcr.vermont.gov/sites/hcr/files/Strategic%20plan%201%2016
%2012.pdf Single Payer 101: Vermont for Single Payer . (n.d.). Home
:: Vermont for Single Payer . Retrieved March 8, 2013,
fromhttp://www.vermontforsinglepayer.org/single_payer_101 Vermont
(2013). Vermonts Health Care Reform- Agency of Administration.
Retrieved from:http://hcr.vermont.gov/goals/reduce_costs Vermont
health connect. (2013). Retrieved from
http://healthconnect.vermont.gov/ Vermont: Nonelderly uninsured.
(2011). Retrieved
fromhttp://www.statehealthfacts.org/profileind.jsp?sub=40&rgn=47&cat=3
