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Big picture

Keeping Track of the Big Picture

This involves ongoing evaluation of investments and policy decisions. The evaluations occur by program, by population, and by region to ensure that we are not causing unintended consequences.


Creating and Implementing Value-Based Payments

Vermont's payment model design activities are performed on a multi-payer basis as much as possible.

Sharing records

Sharing Medical Records

Health data exchange and measurement capabilities will be increasingly important for future payment and care delivery models.

Work groups

Breaking the Project into Manageable Tasks

Breaking the Project into Manageable Tasks


Enabling Provider Readiness

VHCIP's care delivery activities are designed to enable provider readiness to participate in alternative payment models and accept higher levels of financial risk and accountability.

Areas of focus image

Specific Tasks to Acheive the Triple Aim

Vermont has launched multiple projects in the following focus areas: Health Data Infrastructure, Payment Model Design and Implementation, and Practice Transformation.


Since the launch of the SIM grant, Vermont has actively engaged hundreds of stakeholders and members of the public as participants in the various SIM work groups, as well as through existing work groups and additional forums. We engage stakeholders through email communications, our website, in-person meetings, and webinars. Of note, all of the project’s meetings are open to the public and public comment is solicited at each meeting.

In addition to engaging Vermont’s existing and diverse stakeholder groups, there are several public/private work groups that address specific SIM tasks: Health Data Infrastructure, Payment Model Design and Implementation, Practice Transformation, Workforce, Population Health, and Disabilities and Long-Term Services and Supports (DLTSS). Each of these work groups includes payers, providers and representatives from provider organizations, representatives from various State agencies and departments, social service agency representatives, consumer representatives, and self-advocates.

The SIM Project Director is responsible for directing communications about SIM project activities to the over 300 project participants and numerous public and private stakeholders. In order to manage communications with all stakeholder groups, the SIM Project Director will be responsible for communicating about grant activities to stakeholders representing partner state agencies and partnering providers and payers. Communication and dissemination efforts are supported by project staff whom advance existing efforts to engage stakeholders and interested parties across the State.