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AHEAD

The States 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 population health so that everyone can reach their full potential and reduce the growth of health care costs. The primary components of the model are: 

  • State accountability for reducing growth in total cost of care for health care services, increasing investment in primary care, and improving health care outcomes and health equity. 
  • 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. 

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

Learn more about the AHEAD Model:

Key Documents
Press Releases and Recordings
  • Press Release about Vermont's signing of the AHEAD Model State Agreement, January 2025
  • Press Release about Vermont's acceptance to participate in the AHEAD Model, July 2024
  • Press Release about Vermont’s AHEAD Model application
  • AHEAD Press Event recording, April 2024
General