News

Lead investor makes case to regulators to buy Burlington Labs

A former IDX executive told health care regulators he’s ready to save an embattled drug testing company within a month but will walk away if they wait more than a month to issue a permit for the deal. ...

Jim Crook Jr. has been leading an investor group, with minority partnership from the University of Vermont Health Network, to acquire Burlington Labs, which collects and processes urine samples to check for opiates. It operates locations across Vermont and two in other states.

He made his case before the Green Mountain Care Board on Wednesday, seeking to use an emergency process to apply for a permit, called a certificate of need, to acquire the company, which Crook says is in danger of going under. The board approved the request for an emergency process unanimously in a voice vote after taking public comment. ...

At the hearing, Crook faced questions from reporters and health care advocates from Vermont Legal Aid about the alleged fraud. Gobeille, who generally intervenes during the public comment period at board meetings, answered many of the questions himself. ...

“The point is today’s matter is whether there should be an emergency (certificate of need),” Gobeille said. “We are not diving into what the AG is doing or what the issue is with Burlington Labs.”

State Touts Improved IT, Customer Service At Vermont Health Connect

A couple weeks ago, administration officials delivered their final monthly report on Vermont Health Connect to the Legislature. The document strikes a triumphant tone. Vermont’s insurance exchange, the report says, is succeeding at long last.

Trinka Kerris the chief health advocate for Vermont. She oversees Vermont Legal Aid's Office of the Health Care Advocate, an independent office that works to resolve consumer complaints about Vermont Health Connect, other insurers, state programs, hospitals and providers. ...

“It’s only good when you compare it to what it used to be like,” Kerr says. “We still get calls from people who are really upset, really frustrated, really angry about problems that they’ve been trying to resolve for months.”

Just because Vermont Health Connect is better today than it was six months or a year ago, Kerr says, doesn’t mean it’s as good as it should be. The Legislature commissioned an independent review of Vermont Health Connect due at the end of the year.

“I guess I’d like to see the results of the study that’s being done to determine whether it is really worth sticking with the system,” Kerr says.

Federal Court Orders CMS To Fix Improvement Standard Education Effort

A federal district court agreed with beneficiary advocates that CMS hasn't done enough to implement a three-and-a-half-year old settlement agreement to halt a widespread, unofficial policy of cutting off Medicare coverage for certain services when beneficiaries stop improving. The court ordered the agency to provide more education about Medicare coverage of services for beneficiaries that may not be improving The Center for Medicare Advocacy and Vermont Legal Aid alleged the improvement standard was illegal, and CMS and the beneficiary advocates...

This publication is An Inside Washington news service, available by subscription only

UVM Health Network faces questions on health care costs

A member of the Green Mountain Care Board challenged the state’s largest hospital system to reduce prices without seeking more money from government programs. ...

Dr. Allan Ramsay on Wednesday told top officials from the UVM Health Network that blaming the so-called cost shift for high hospital prices is unfounded. ...

A representative of Vermont Legal Aid’s Office of the Health Care Advocate, which represents the public interest in the hospital budget process, was the first to question why the hospitals were blaming the “cost shift” for higher prices.

Law Line of Vermont executive retires

Thomas F. Garrett retired this week from the top post of the Legal Services Law Line of Vermont, where he had been the executive director since the Law Line formed in 1996. His last day on the job was Monday.

In that post, Garrett managed a staff of attorneys who provide free consultation, advice, intake, referral and education for-low income Vermonters primarily through the Vermont Law Help hotline. The hotline, a joint project of Vermont Legal Aid and Law Line, is funded in part by the Legal Services Corp.  ...

Sam Abel-Palmer, a former staff attorney at Vermont Legal Aid and the current Vermont Law Help hotline supervisor, will serve as Law Line’s interim executive director.

Back to drawing board for boarding house regs

Residents packed a public hearing Monday night and demanded the town do something about the proliferating problems at the growing number of boarding houses in town.

The Springfield Select Board had drawn up a draft zoning change that would require any establishment of a boarding or rooming house to get a zoning permit and follow several conditions. ...

Jacob Speidel, a lawyer with Vermont Legal Aid in Springfield, said there were unintentional consequences of the proposed zoning change, including making it more difficult for the elderly to either rent a room or rent out a room in their homes.


Originally published in the Rutland Herald (available by subscription)

MVP argues for 6.3 percent increase in insurance prices

MVP Health Care is asking state regulators to let it increase how much it charges Vermont Health Connect customers by an average of 6.3 percent next year.

Kaili Kuiper spoke on behalf of Vermont Legal Aid’s Office of the Health Care Advocate, which advocates for the public interest in these cases. She argued that the board should enforce the 3.7 percent increase its actuaries at Lewis and Ellis in Burlington recommended.

In her opening remarks, Kuiper referenced public comments from Wednesday and said health care costs are so high that they are “negatively impacting individuals, families, communities and small businesses in Vermont.”

“They described how health care costs are impeding their access to care, taking a huge chunk out of their budgets, and they’re asking what they will have to give up to afford future rate increases,” Kuiper said.

“Vermonters are living under a federal mandate that requires them to buy health insurance, yet they can’t simply shop around for a better deal because as individuals and small businesses, their only option is to purchase health insurance on the Vermont health exchange,” she said. ...

Kuiper countered that MVP must meet a burden of proof in order to raise prices 6.3 percent and said the insurer hasn’t met it. She said the Lewis and Ellis actuaries use a better methodology and the result of the methodology is more affordable for Vermonters.

A Joint Statement from the National Legal Aid & Defender Association (NLADA) and the Shriver Center

Members of the legal aid and public defender community were horrified and outraged by the killings of Alton Sterling and Philando Castile. Two more Black lives taken by those who ostensibly serve and protect. We must find a better path toward justice for our society and for people of color. A first step for our community is to state firmly that we stand in solidarity with the Black community and against the racial inequality that still plagues our nation.

We affirm what should be undeniable—Black Lives Matter. The recurring violence against Black people is but an extreme manifestation of our society’s persistent racism, which denies the Black community, and other communities of color, the right and opportunity to be safe and healthy, to work and live with dignity, and to flourish.

We live in a country where those tasked with protecting our communities too often possess unfounded biases, whether implicit or explicit, that Black people pose a constant danger. This has led to situations where having a broken taillight or selling cigarettes or CDs is punishable by death; where reaching for a wallet is an act of aggression warranting a lethal response.

Our country has always been plagued by these beliefs—that Black communities and other communities of color are criminal and untrustworthy. This is not limited to one part of the country; it is a systemic national problem stretching from New York to Minnesota, California to Florida, and beyond. Our solutions must also be national and systemic. We must address the significant role that race plays in policing practices. Members of the legal aid and public defender community must form genuine and sustainable, community-led partnerships aimed at bridging the racial divide in our country.

Honoring this commitment will take hard work and honest self-criticism. “We’ve always done it this way” is not enough. We commit to a hard look at our work and to ensuring our efforts are driven by the experiences of people of color and an explicit commitment to combating racism. We commit to a hard look at ourselves and our organizations to consciously challenge our own biases and ways we unintentionally contribute to systems of racial disadvantage. We commit to building enduring alliances with communities who struggle against racism every day. Our work must support community leadership.

As we honor the pain and suffering of the communities that have lost loved ones, including the five officers killed in Dallas, we must be guided by justice and love. For us, that path starts with a commitment to be steadfast allies in the pursuit of racial justice. We must work together with all stakeholders, including law enforcement, to develop solutions to these very pressing problems.

As an immediate next step, we will work with our partners to develop an Action Plan for Racial Justice that can guide our organizations in effectuating our commitment.

State grant funds more legal services for Vermont seniors

Vermont received an  Administration for Community Living grant that will provide $178,500 each year for three years to expand legal services for at-risk older adults. The Model Approaches to Statewide Legal Assistance Systems demonstration grant is a cooperative grant between the Vermont Agency of Human Services’ Department of Disabilities, Aging and Independent Living (DAIL) and Vermont Legal Aid. The grants are designed to help states respond effectively to legal issues affecting seniors with significant social or economic needs.

In Vermont, the funding will be used to develop services specifically for seniors at the statewide legal hotline, Vermont Law Help, as well as to provide legal training, to do outreach, and to build and strengthen partnerships throughout the state with the court system, Adult Protective Services, the Office of Public Guardian, the Area Agencies on Aging, and others.

“As the number of older adults living in Vermont continues to grow, more and more seniors are calling to find help,” said Michael Benvenuto, Elder Law Project Director at Vermont Legal Aid. “Housing, health care, consumer, and financial issues along with elder abuse are critical areas of need that, if unresolved, can threaten the well-being of older adults as well as their ability to stay in their homes and communities. This grant will allow Vermont Legal Aid to expand our services and develop an integrated system for helping seniors statewide.”

Read news release

Report recommends lower price increase for MVP Health Care

...MVP requested an 8.8 percent increase in what it charges customers on Vermont Health Connect starting Jan. 1. Blue Cross Blue Shield of Vermont requested an 8.18 percent increase.

The board’s actuaries analyzed the requests and came out with an opinion Monday. The actuaries said MVP should be able to raise its prices only 3.7 percent and that Blue Cross’s prices should go up 8.24 percent instead of 8.18 percent. ...

Hearings on the insurance prices for Vermont Health Connect customers will be held in Montpelier at 9 a.m. July 20 for Blue Cross and 9 a.m. July 21 for MVP at the Green Mountain Care Board offices in City Center. Health care advocates at Vermont Legal Aid will testify on behalf of consumers.

Pages