Vermont
Title or Name of APCD System:
Vermont Healthcare Claims Uniform Reporting and Evaluation System (VHCURES)
Category:
Existing
Who Maintains the System:
Vermont Green Mountain Care Board
First Year APCD Collected Data:
2007
APCD Snapshot:
Vermont’s statute indicates that their APCD was created as a resource for multiple stakeholders to measure performance of the health care system. There have also been requests to use the data for modeling ACOs through the Health Care Reform Commission and developing population based reports on spending and utilization in the commercial population.
Number of Commercial Sources of Claims Data:
10
Sources and Status of APCD Data Collection
| Payers | Currently Collected | Planned Collection |
|---|---|---|
| Commercial Payers | Yes | -- |
| Third Party Administrators/Self-Funded | Yes | -- |
| Medicaid | Yes | -- |
| Medicare | Yes | -- |
| Types of Data Collected | Currently Collected | Planned Collection |
|---|---|---|
| Medical Claims | Yes | -- |
| Eligibility | Yes | -- |
| Pharmacy | Yes | -- |
Primary Users/Uses:
Analyses of cost, utilization, variations in quality, episodes, geographic differences, and risk adjustment.
Future Plans:
Working with others to secure potential ARRA funds to create a multi-state provider index, registry data, EMR, lab, etc.
State Specific Resources:
VHCURES Data Use and Disclosure Manual, 2022
VHCURES Reporting Manual - Necessary Data and Reporting Schedule, 2022
HHS awards State of Vermont $3.8 million for insurer rate review, September 2011
Assessment of Vermont’s Claims Database to Support Insurance Rate Review, VHCURES, July 2011
OnPoint - Tri-State Variation in Health Services Utilization & Expenditures in Northern New England
Contact Information:
For more information please contact Kate O'Neill at Kathryn.ONeill@vermont.gov.