Green Mountain Care Board

10/08/2026

GMCB is hiring!

GMCB is looking for a Healthcare Financial Systems Analyst to join our team to help support financial oversight of Vermont's hospitals and health care system through budget analysis, financial reporting, and data-driven insights.

Interested in making a difference in Vermont's health care system? Apply today through the State of Vermont Careers website!

https://careers.vermont.gov/job/Montpelier-Healthcare-Financial-Systems-Analyst-VT-05601/1436647900/

09/21/2026

Vermont’s FY27 hospital budgets are finalized.

The Green Mountain Care Board has completed its annual review and established FY27 budgets for Vermont’s 14 community hospitals following months of review, public hearings, and deliberations.

The statewide decisions are focused on addressing the underlying cost of healthcare and improving affordability for Vermonters. For FY27:

🔹 Commercial reimbursement rates will decrease 2.9% statewide
🔹 Commercial net patient revenue will decrease 1.2% statewide
🔹 Total hospital net patient revenue is approximately $3.8 billion, a 1.6% increase over FY26 approved budgets

This year, the Board also expanded its focus beyond hospital prices by establishing limits on commercial net patient revenue, recognizing that healthcare spending is driven by both the price and volume of care.

“Vermont has a tremendous opportunity to sustain our critical hospital system, preserve essential services, and improve affordability,” said GMCB Chair Owen Foster.

The Board will issue final FY27 hospital budget orders by October 1 and continue monitoring hospital financial performance throughout the year.

Read the full release athttp://gmcboard.vermont.gov/sites/gmcb/files/documents/Press%20Release%20-%20FY27%20Hospital%20Budget%20Review%20Decisions%20-%2009.14.2026%281%29.pdf

Learn more about the FY27 Hospital Budget Review at https://gmcboard.vermont.gov/hospital-budget-review

08/24/2026

Join the Green Mountain Care Board this Wednesday, August 26 at 10:30 a.m. for a public update on Vermont’s implementation of reference-based pricing (RBP) for hospital services.

The Board will hear about the work underway to implement RBP, including the development and testing of the methodology that will be used to establish payment benchmarks.

Reference-based pricing is one part of Vermont’s broader effort to address rising health care costs and improve affordability for Vermonters.

📅 Wednesday, August 26
🕥 10:30 a.m.
💻 More Information: gmcboard.vermont.gov/board/meetings

Meeting materials will also be posted on the GMCB website as they become available.

We encourage Vermonters, health care partners, employers, policymakers, and other interested stakeholders to tune in and learn more about this important work.

08/17/2026

GMCB is accepting applications for a Director of Health Systems Finances to join our leadership team.

This position plays a key role in GMCB’s work to improve the affordability and sustainability of Vermont’s health care systemleading financial analysis that informs regulatory policy and decision-making and overseeing a talented team of finance and data professionals.

We’re looking for an experienced leader who can bring strong financial expertise, strategic thinking, and a collaborative approach to this important work.

Applications are due August 30, 2026.

Learn more and apply at careers.vermont.gov.

08/13/2026

GMCB is seeking a Health Policy Analyst to support our work to make health care more affordable for Vermonters.

This position will help inform and advance policies related to reference-based pricing, prescription drug affordability, hospital global budgets, primary care investment, and health system financing.

Learn more and apply through the State of Vermont careers website: https://careers.vermont.gov/job/Montpelier-Health-Policy-Analyst-Affordability-&-Pricing-VT-05601/1415672700/

08/12/2026

The State of Vermont is seeking its next GMCB Board Chair.

This is an opportunity to lead the Board at an important time for Vermont’s health care system and help advance GMCB’s work to balance affordability, access, and quality for Vermonters.

We encourage qualified candidates who are interested in public service and helping shape the future of health care in Vermont to learn more and apply.

🔗 View the job posting and application details: https://humanresources.vermont.gov/GMCB-Search-2026

08/11/2026

The Green Mountain Care Board invites you to join us on Wednesday, August 26th at 10:30am, for a public update on Vermont’s implementation of reference-based pricing (RBP).

Since the passage of Act 68 of 2025, the Board and staff have been working to build the data, methodology, technical capacity, and regulatory framework needed to implement a durable statewide commercial reference-based pricing program for hospital services.

That work has included
• developing a clearer picture of current hospital prices
• building the core elements of an RBP methodology, including how Medicare benchmarks and critical access hospitals will be addressed
• completing a competitive procurement process and beginning work with outside experts to test and refine the methodology
• using the Board’s existing regulatory processes to prepare hospitals and health insurers for implementation

At the August 26 Board meeting, staff will update the Board and the public on what has been accomplished, the work currently underway, and the path ahead.

Reference-based pricing represents a significant change in how commercial hospital prices may be established in Vermont, and we know there is considerable interest in this work. We encourage you to join us on August 26th to learn more about where things stand and what comes next.

Meeting materials and information about how to attend will be available on the GMCB website https://gmcboard.vermont.gov/2026-meetings

08/04/2026

Missed a hearing? You can always catch up later.

All Green Mountain Care Board public hearings and Board meetings are recorded and archived on our YouTube channel, so you can watch whenever it's convenient for you.

Whether you're following hospital budget reviews, health insurance rate reviews, Certificates of Need, or other Board proceedings, our recordings help make the Board's work accessible and transparent - even if you can't join us live.

Visit our YouTube channel to watch past hearings and subscribe to be notified when new recordings are posted.

🎥 https://www.youtube.com/

07/28/2026

Green Mountain Care Board will begin it annual review of Vermont hospitals' proposed budgets on Monday, August 3, 2026.

These public hearings provide an opportunity to hear directly from each hospital and allow the public to better understand the budget proposals that help shape Vermont's healthcare system.

📅 Hearings begin: Monday, August 3
⏰ Time: 9:00 a.m.

Meeting schedules, agendas, livestream information, and hearing materials are available on the GMCB website:
https://gmcboard.vermont.gov/hospital-budget-review-schedule

We encourage all interested Vermonters to follow the proceedings and stay informed throughout the budget review process.

07/25/2026

https://www.facebook.com/share/1BbH2yAm1r/

Foster’s four-year tenure as chair saw the Green Mountain Care Board, which oversees hospital budgets and commercial health insurance rates, take a noticeably more muscular approach to regulating.