Provides an overview of Vermont's comprehensive health reform and the interim results of a two-year evaluation of its impact on the affordability of coverage and access to services, as well as its sustainability. Discusses lessons learned

Brian Robertson

Kira Rodriguez

Ronald Deprez

Sherry Glied

Steven Kappel

English

IssueLab

SHARE GRANTEE NEWSLETTER  MARCH 4, 2009  1 Summary  • Universal health care legislation, passed in Vermont in 2006, has met its goal of significantly increasing the number of insured Vermonters and aims to further impact care through improving quality and containing costs.   • The percentage of uninsured Vermonters has decreased significantly since 2006, and enrollment in both public insurance programs and private insurance has increased.  • Vermonters have learned that health care reform will be an ongoing process, requiring a great deal of stakeholder collaboration.   • Vermont’s public insurance programs are not likely to be sustainable in the long term without both federal assistance and system‐level improvements.  Vermont’s passage and implementation of comprehensive health reform is often overshadowed by the efforts of Massachusetts, but preliminary evaluation findings on health reform in Vermont offer a number of lessons to other states. This report presents the interim results of a two‐year comprehensive evaluation examining the impact of health care reform in Vermont as initiated by the 2006 Health Care Affordability Acts. The evaluation addresses three key dimensions of Vermont’s comprehensive health reform, including (1) health coverage affordability, (2) health services access (especially access to primary health care), and (3) reform sustainability. This first‐year report includes findings from key informant interviews, analyses of affordability, initial findings from enrollment data, baseline data on fringe benefits, and preliminary analyses of sustainability.         October 2009  Achieving Universal Coverage through Comprehensive Health Reform: The Vermont Experience  – Ronald Deprez, Ph.D., M.P.H.+, Sherry Glied, Ph.D.^, Kira Rodriguez, M.H.S.+, Brian Robertson, Ph.D.~, Steven Kappel, M.P.A.*                +Center for Health Policy, Planning and Research, University of New England, ^Columbia University Mailman School of Public Health, ~Market Decisions, Inc., *Policy Integrity, LLC  State Health Access Reform Evaluation, a national program of the Robert Wood Johnson Foundation® Center for Health Policy, Planning, and Research • University of New England, Portland, Maine 04103 • www.chppr.org • (207-221-4560)   Th H Thbe19thfabe In(HAc In Thcasesu Thhe Blthanadantoen  E T Beine ISTe Syon95at astertte MaCAt si conesere rvicccee 2althuepird d rvand p devrolARhe twcreVerOtated t to cppr thr acy 2A) fncesid gocoses ssfu006 inringoaeducedroveloled LYpeeenasemoRY ofhe tovoxian tces006or V itseri1.    2.    3.     als ts wwol re Hsur• ThinteempHeaassi • Unproby theasuc t fols oce h midep ain o Erce 20d bynt   O Verrader lomahe s to, ther initng rTo To To weouuldforCAAance Cndeloylth stadevidheilth h enr Hf theaedir re chrtheNRnt05 a 2.4ExF Rmoitiow-telyUS r hee lemonial efoachimpprore ild  hem.  wae patad ter is ancer thes fr eminsurolealte Hlth cal imbonr stOLagnd%,perEnt hnalinc 10atealthgisterpasrmievrovmontemalp  s drogmoo pbutvai acce Einanplranlmeh (wCAcarehomuric cateLMe o 20 raiienFOas  income% o.i Fa inslatus. 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Achieving Universal Coverage Through Comprehensive Health Reform: The Vermont Experience

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Achieving Universal Coverage Through Comprehensive Health Reform: The Vermont Experience

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