Commercial Sector Pricing Program for All Vermont Hospitals

2026-11-03

The Green Mountain Care Board ( GMCB ) seeks proposals from qualified vendors to support the design , development , and implementation of Vermont ’ s Reference - Based Pricing ( RBP ) program . This program will establish fair , transparent , and sustainable hospital payment levels through benchmarking services to a defined reference point ( e . g ., Medicare rates , regional benchmarks , or other methodologies ). The selected vendor will be responsible for developing , testing , and refining a statewide , commercial - payer methodology implemented through the GMCB ’ s rate - setting authority that will serve as an input to the annual hospital budget review process beginning in hospital fiscal year 2028 . This work will include comprehensive financial impact modeling , safeguards to ensure savings flow to Vermonters , mechanisms to monitor and prevent unintended distortions ( such as service shunting or site - of - care shifting ), and options for enforcement .

Vermont

2026-04-28