1. VERMONT UNIVERSAL
HEALTHCARE
By: Patricia Weiss, Jaslin Parhar, David
Westphal, Kristen White, Chukwuemeka
Igwe

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 and
increase quality
 Healthcare spending has increased by 10% from 1971 and is now
at $2.5 trillion

4. BASIC FRAMEWORK
 A larger portion of the U.S. population is uninsured or
underinsured
 About 50,000 people in Vermont are uninsured and 150,000 are
underinsured
 Due to this Governor Shumlin has set four overarching goals and
a 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 to
reduce costs of care
4. Better manage care for individuals with chronic conditions
5. Maximize federal funding to support coverage of health care services in
Vermont

6. BASIC FRAMEWORK
 Goal 2: Assure all Vermonters have access to and coverage for
high-quality health care
6. Cover uninsured individuals
7. Increase enrollment and retention in coverage
8. Assess adequacy of health care workforce
9. Define a minimum standard of benefits

7. BASIC FRAMEWORK
 Goal 3: To improve the health of Vermont’s population
10. Assure all individual have access to high quality and coordinated
preventative services by improving the integrated health services model
11. Evaluate and improve health care delivery by expanding the learning
health system
12. Assure access for all working individuals to healthy worksites,
employee assistance and other community support for health
management
13. improve the health of school children by implementing the
Coordinated School Health Model recommended by the CDC
14. Support Vermont communities to respond to specific public health
challenges

8. BASIC FRAMEWORK
 Goal 4: To assure greater fairness and equity in how we pay for
healthcare
15. Gain passage of legislation and approval of a federal
waiver for public financing that is separate from employment and
gives individuals the ability to pa for coverage that is more
sustainable
16. Reduce cost shifting between public and private sectors and
between segments of the private sector

9. FUNDING SOURCES

10. HOUSE BILL 202 (H202)
 Governor Peter Shulman signed House Bill 202 on May 26, 2011
which implemented a single-payer health system in Vermont
 Single-payer systems are based on residency, which creates
natural mechanisms for universal coverage

11. SINGLE-PAYER SYSTEMS
 Basic benefits provided to all citizens through one publically
financed insurance fund which pays providers under uniform
mechanisms and rates
 Funded through payroll taxes and includes generous benefit
packages.
 Payroll taxes are split 75 percent for employers and 25 percent for
employees, with exemptions for small businesses and low-wage workers and
families 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 maximizing
coverage by Medicaid and encouraging those eligible for
Medicaid 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 that
money needs to be spent in a more smart way.
 Smart ways to spend the $5 billion dollars to make sure
healthcare is more efficient in future.
 The state has various goals and strategies to help them with cost
reduction

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 $118
million
 Vermont is moving away from the traditional “fee-for-service”
method
 “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 Vermont’s population
 Each goal has various strategies.

18. ACCESS TO HEALTHCARE
http://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 market
http://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 life
style.
 Promotes preventive health practices to lower the costs of care.

23. EFFECT OF THE PROGRAM
 Employers
 Employees
 Providers Uninsured

24. EFFECT OF THE PROGRAM
 PROVIDERS
o Reductions in administrative tasks for physicians and other
healthcare providers.
o Increased focus on the delivery of Quality care.
o Increased autonomy in clinical decision-making
 Best medical practice vs. Patient’s financial conditions
o Decline in overhead expenses
o Potential for Reduced malpractice premiums

25. EFFECT OF THE PROGRAM
 EMPLOYERS
o Reduction in financial burden on employers.
 Lower insurance premiums leads to increased financial resources
o Creates a level playing field for all businesses, in terms of
healthcare financing
o Prevents the shifting of costs to employers
 Lower insurance premiums

26. EFFECT OF THE PROGRAM
 EMPLOYEES
o Increased access to health care for people.
 Removal of financial barriers
o Increased quality care via preventive services.
o Autonomy in choosing healthcare providers and health
plans.
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
 UNINSURED
o Access to health care
 Vermont’s single-payer system covers everyone
regardless of their age, income and employment
status, thus ensuring that the rate of uninsured
people is significantly reduced or eliminated in the
state

28. LITERATURE CITED
 Bernie sanders u.s. senator for vermont: Health care. (2013). Retrieved from
http://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 from
http://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, from
http://www.vermontforsinglepayer.org/single_payer_101
 Vermont (2013). Vermont’s 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 from
http://www.statehealthfacts.org/profileind.jsp?sub=40&rgn=47&cat=3