The State of Vermont utilized rate review grant funds provided under the authority of the Federal Patient Protection and Affordable Care Act’s (PPACA) to investigate the usefulness of its multi‐payer healthcare claims database (VHCURES) to support enhanced insurance rate review activities. This report presents the results of that project. Vermont has been a leader on many fronts in the evolution of its healthcare system. VHCURES, which contains enrollment and claims data on health services provided to major segments of Vermont’s insured residents, is an important resource for many important avenues of research and analysis. Vermont’s rate review process is also a national leader.