Price Variation Analysis
Review the 2013 Payment Variation Study developed in Phase I of this project. Describe whether there are clear reasons why some hospitals or providers are paid more than others for the same services, i.e. : a) Result of negotiations between payers and providers b) Reimbursement for the cost of medical education c) Reimbursement rules related to the site of serviced) Other Explore how the differentials in payments between public and private payers impact the premium cost for residents and businesses in Vermont and impact the cost of health care for the uninsured and/or those individuals with high deductible health plans. Suggest how the impact of these variations in payments (or steps toward the elimination of these variances) might influence the policy options the GMCB should consider as it develops its own rules and regulations regarding payment methodologies, the basis for payment amounts, reduction in the cost shift, insurance rate review, and standards and criteria related to Accountable Care Organizations (ACOs) in Vermont.
