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Explore our coverage of government and politics.

Auditor Hoffer: Fix Health Exchange Before Launching Single Payer

State Auditor Doug Hoffer says an upcoming audit of Vermont Health Connect will reveal if the Shumlin Administration has effectively dealt with many of the problems that have surfaced at the exchange’s website.

Hoffer says the results of the audit could play a critical role in the Legislative debate about the future of health care in Vermont.  

It’s been a very difficult year for the state’s health care exchange, known as Vermont Health Connect, since it opened its doors for business last October.

The on-line payment system for small businesses has never worked, and some consumers have encountered long delays to calculate the size of their payments and their subsidies.

In addition, thousands of people are in limbo waiting for the state to process their applications by hand.

"We want a comfort level that this is something that we can manage, It is immense, it is complex." - State Auditor Doug Hoffer on the need to resolve problems at Vermont Health Connect before considering a single payer plan

Several weeks ago, the Shumlin administration closed the exchange down in an effort to fix the current problems before the next open enrollment period begins in the middle of November.

While there have been  several reports detailing what went wrong, State Auditor Hoffer said he wants his audit to examine if the state has been successful in implementing the recommended solutions.

“We want a comfort level that this is something that we can manage, it’s immense, it’s complex even though  the exchange is not the same as single payer, whatever that’s going to be,” said Hoffer. “So we wanted to look at all those recommendations and whether the state in fact is responding to them as they should.”

Hoffer said the rocky roll-out of the exchange has definitely undermined public confidence in the state’s ability to put a single payer system in place in 2017.

“I feel that way as a citizen and I think a lot of people feel the same way,” said Hoffer. “So that’s why we’re trying to help. It’s that important.”

Hoffer says he hopes to have the audit done by the end of March or the beginning of April. He’s shooting for this deadline because he says the conclusions of the audit will play an important role in the legislative debate over single payer.

“The intent is for it to be helpful. We want to inform the debate about these issues that’s the whole idea we can only do it as quickly as it can be done,” said Hoffer. “There are no short cuts; you have to meet the government auditing standards, so it will take as a long as it takes.”   

Hoffer has informed the Shumlin administration that the focus of the audit could change based on the information that is gathered in the initial stage of the review.

Bob Kinzel has been covering the Vermont Statehouse since 1981 — longer than any continuously serving member of the Legislature. With his wealth of institutional knowledge, he answers your questions on our series, "Ask Bob."
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