Vermont
Title or Name of APCD System
- Vermont Healthcare Claims Uniform Reporting and Evaluation System (VHCURES)
Who Maintains the System
- Vermont Green Mountain Care Board
Legal Authority
Investment
- On an annualized basis, we have been spending approximately $750,000 for outsources data collection, processing, consolidation, analytics and report generation, and for agency FTEs to administer the program. We anticipate that this increase if we include
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
Commercial Payers
- Currently Collected
Third Party Administrators/Self-Funded
- Currently Collected
Medicaid
- Currently Collected
Medicare
- Currently Collected
Types of Data Collected
Medical Claims
- Currently Collected
Eligibility
- Currently Collected
Pharmacy
- Currently Collected
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, 2023
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.