Prior Authorizations for Health Care
On Tuesday, Julia Boles, Health Policy Advisor at Green Mountain Care Board (GMCB), presented a report regarding Prior Authorization (PA) to the Senate Health and Welfare Committee. She explained that “Prior Authorization” means the process used by a health plan to determine the medical necessity, medical appropriateness (or both) of otherwise covered drugs. It is also applied to medical procedures, medical tests, and other health care services. Prior authorization is a process by which a medical provider (or the patient, in some scenarios) must obtain approval from a patient's health plan before moving ahead with a particular treatment, procedure, or medication.
Read moreGreen Mountain Care Board Budget - April 12, 2023
Robin Lunge and Jessica Holmes, members of the Green Mountain Care Board (GMCB) presented the history and overview of the GMCB to the House Appropriations Committee on Wednesday. Holmes introduced herself stating that she is an economist and has been a member of the Board for eight years. She explained how the uniqueness of health care justifies the extensive government oversight through laws and regulations. In most markets, transactions involve only a buyer and seller, but in health care there is the presence of third parties, including insurers as well as the role of government.
Read moreDr. David Murman GMCB Confirmation - March 29, 2023
The Senate Health and Welfare Committee held confirmation hearing on Wednesday for Dr. David Murman to be appointed to the Green Mountain Care Board (GMCB).
Read moreGreen Mountain Care Board 2023 Appointments
This week the Senate Health and Welfare Committee confirmed the appointments of a number of the Green Mountain Care Board (GMCB) members.
Read moreHouse Appropriations Review of Green Mountain Care Board
The Green Mountain Care Board (GMCB) met with the House Appropriations Committee on Tuesday to present their budget for 2024. The new Chairman, Owen Foster, introduced the current Board, which includes Jessica Holmes, Robin Lunge, David Murman, Thom Walsh, and Susan Barrett.
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