Single-payer progress

To The Editor:

Despite recent confusion around federally mandated health care exchanges, work continues around the state to assure that we will have a single-payer system in 2017 that will result in more people getting better coverage for less money. This process doesn't get much media attention, which is too bad because it is good news.

In an effort to reduce the growth of health care costs, the Green Mountain Care Board has pending proposals with Centers for Medicare & Medicaid Services (CMS) to test several payment models based around shared savings, accountable care organizations, bundled payments, and pay for performance.

The GMCB coordinated and helped design several payment reform models. In St. J the board is guiding a coordinated oncology care project that's somewhat experimental, with doctors and providers helping design the future payment contracts and Dartmouth Hitchcock researchers tracking performance.

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