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States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model

The States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model is a new federal program that would allow Medicare to join Vermont’s health care reform efforts to improve the health of Vermonters, advance health equity so that everyone can reach their full potential for health, and reduce the growth of healthcare costs. Vermont was selected to participate in the AHEAD Model in July 2024. The primary components of the model are:

  • Hospital Global Budgets, where hospitals will be paid a fixed amount of revenue, or a “global budget,” to provide services to Medicare fee-for-service beneficiaries.
  • Primary Care AHEAD, which is a voluntary program for primary care practices to receive an additional payment from Medicare to provide coordinated care to Vermonters with Medicare coverage.

Learn more about the AHEAD Model: 

Please email AHS.HealthCareReform@vermont.gov with any questions or comments.