§ 9413. Health care quality and price comparison
§ 9413. Health care quality and price comparison Each health insurer with more than 200 covered lives in this State shall establish an Internet-based tool to enable its members to compare the price of health care in Vermont by service or procedure, including office visits, emergency care, radiologic services, and preventive care such as mammography […]
§ 9414. Quality assurance for managed care
§ 9414. Quality assurance for managed care (a) The Commissioner shall have the power and responsibility to ensure that each managed care organization provides quality health care to its members, in accordance with the provisions of this section. (1) In determining whether a managed care organization meets the requirements of this section, the Commissioner may […]
§ 9414a. Annual reporting by health insurers
§ 9414a. Annual reporting by health insurers (a) As used in this section: (1) “Adverse benefit determination” means a denial, reduction, modification, or termination of, or a failure to provide or make payment in whole or in part for, a benefit, including: (A) a denial, reduction, modification, termination, or failure to provide or make payment […]
§ 9416. Vermont Program for Quality in Health Care
§ 9416. Vermont Program for Quality in Health Care (a) The Commissioner of Health shall contract with the Vermont Program for Quality in Health Care, Inc. to implement and maintain a statewide quality assurance system to evaluate and improve the quality of health care services rendered by health care providers of health care facilities, including […]
§ 9405b. Hospital community reports and ambulatory surgical center quality reports
§ 9405b. Hospital community reports and ambulatory surgical center quality reports (a) The Commissioner of Health, in consultation with representatives from hospitals, other groups of health care professionals, and members of the public representing patient interests, shall adopt rules establishing a statewide comparative hospital quality report. Hospitals located outside this State which serve a significant […]
§ 9405c. Notice of acquisition
§ 9405c. Notice of acquisition (a) As used in this section: (1) “Acquire” means a purchase or transfer through which a hospital will own or control the business of a medical practice. (2) “Hospital” means a general hospital or hospital facility licensed under chapter 43 of this title. (3) “Medical practice” means a business through […]
§ 9404. Administration
§ 9404. Administration (a) The Commissioner and the Green Mountain Care Board shall supervise and direct the execution of all laws vested in the Department and the Board, respectively, by this chapter, and shall formulate and carry out all policies relating to this chapter. (b) The Commissioner and the Board may: (1) apply for and […]
§ 9405. State Health Improvement Plan; Health Resource Allocation Plan
§ 9405. State Health Improvement Plan; Health Resource Allocation Plan (a) The Secretary of Human Services or designee, in consultation with the Chair of the Green Mountain Care Board and health care professionals and after receipt of public comment, shall adopt a State Health Improvement Plan that sets forth the health goals and values for […]
§ 9405a. Public participation and strategic planning
§ 9405a. Public participation and strategic planning (a) Each hospital shall have a protocol for meaningful public participation in its strategic planning process for identifying and addressing health care needs that the hospital provides or could provide in its service area. Needs identified through the process shall be integrated with the hospital’s long-term planning. Each […]
§ 9390. Green Mountain Care Board Nominating Committee created; composition
§ 9390. Green Mountain Care Board Nominating Committee created; composition (a) The Green Mountain Care Board Nominating Committee is created for the nomination of the Chair and members of the Green Mountain Care Board. (b)(1) The Committee shall consist of nine members who shall be selected as follows: (A) Two members appointed by the Governor. […]