The Green Mountain Care Board (GMCB) seeks proposals from qualified vendors to support the design, development, and implementation of Vermont’s Reference-Based Pricing (RBP) program. This program will establish fair, transparent, and sustainable hospital payment levels through benchmarking services to a defined reference point (e.g., Medicare rates, regional benchmarks, or other methodologies). The selected vendor will be responsible for developing, testing, and refining a statewide, commercial-payer methodology implemented through the GMCB’s rate-setting authority that will serve as an input to the annual hospital budget review process beginning in hospital fiscal year 2028. This work will include comprehensive financial impact modeling, safeguards to ensure savings flow to Vermonters, mechanisms to monitor and prevent unintended distortions (such as service shunting or site-of-care shifting), and options for enforcement.
