Designing Vermont’s Health Care Model

August 9, 2010

Hsiao early diagnosis of Vermont’s health care problems: A bad case of fragmentation
By Anne Galloway on August 6, 2010

The problem with health care in Vermont can be summed up in one word — fragmentation — according to Dr. William Hsiao, the Harvard-based economist who is designing health care models for the state.

Vermont’s patchwork of duplicative private, federal and state medical programs, payment systems and insurers, he told members of the Vermont Health Care Commission yesterday, leads to inconsistent care for patients, unnecessary services, waste, inefficiency, fraud and high administrative costs — not to mention the fact that thousands of Vermonters don’t have access to what he calls a “non system,” because they can’t afford health insurance.

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