Medicaid

Whether its limiting the number of pills in a prescription or accessing treatment and therapy, insurance providers play a central role in the opioid crisis.
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The stories of America's opioid crisis are sadly familiar: stories of addiction, overdose, and suffering. But what role do insurance companies play in this struggle? 

Jane Lindholm / VPR

The University of Vermont Medical Center in Burlington is one of four hospitals that have agreed to get reimbursed for Medicaid patients based on a pre-set per-patient per-month fee.

Peter Hirschfeld / VPR File

Gov. Phil Scott on Wednesday rolled out a Medicaid pilot program whose success or failure could determine the future of health care reform in Vermont.

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Health advocates are challenging a Vermont Medicaid policy that has restricted curative treatment for hepatitis C only to patients with advanced liver problems. And while state officials say they’re open to changing the policy, they say offering treatment to all low-income Vermonters could cost taxpayers as much as $25 million over two years.

Andy Duback / AP

In a stunning policy reversal, Gov. Peter Shumlin is dropping his plan to tighten Medicaid eligibility rules for pregnant women.

Angela Evancie / VPR file

Tuesday, the 2016 Legislative session kicks off in Montpelier. There's usually a lot more activity in the few first weeks of the second year of the biennium. That's because House and Senate committees aren't starting from scratch and they have dozens of bills to review that were introduced during the first year.

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Single-payer is becoming a distant memory, but Gov. Peter Shumlin continues to push for a massive overhaul of Vermont’s health care system. And hospitals and doctors are worried that there won’t be enough money in the new system to provide the care Vermonters need.

The Dartmouth-Hitchcock Medical System has sued Vermont for paying community hospitals higher Medicaid rates than are paid to the New Hampshire facility.

Dartmouth-Hitchcock's lawsuit alleges that Vermont’s policy is unconstitutional because it treats the Lebanon, New Hampshire-based health care provider differently from Vermont hospitals, even though the services they deliver are the same. The suit says the policy also violates federal Medicaid laws.

The administration of Gov. Peter Shumlin says it hopes to avoid asking lawmakers for additional funds for the 2016 fiscal year in the annual budget adjustment and will instead seek authority to shuffle spending within state government.

The issue of whether to levy a tax on carbon pollution hasn't gained much traction yet in Montpelier. Vermont Businesses for Social Responsiblity is trying to broaden support for the concept.
Angela Evancie / VPR file

An $18 million omission during last session’s budget process has created some unexpected fiscal headaches for Vermont legislators. And the Shumlin administration’s decision not to tell lawmakers about a significant Medicaid obligation has complicated what had already become a difficult budget year.

Bob Kinzel / VPR

House Republican leaders say they support Gov. Peter Shumlin's proposal to increase the state's Medicaid reimbursement rate, but they strongly oppose how the governor wants to pay for this plan.