Vermont has many programs in place to support healthy child development that have contributed to its recent recognition for having the healthiest kids in America.* The bulk of Vermont’s early health reform initiatives fall under the Blueprint for Health (Blueprint), a statewide multi-payer initiative established in 2006 to improve health outcomes, control costs, and deliver overall better care to Vermont citizens. Private partners in the initiative include the state chapters of the American Academy of Pediatrics and American Academy of Family Physicians and the Vermont Children’s Health Insurance Program (CHIP). The Blueprint model incorporates multiple delivery system reforms to achieve its goals and has already experienced success in different areas.

The three core components of the Blueprint include implementing patient-centered medical homes (PCMHs), expanding the use of health information technology (HIT), and employing community health teams (CHTs).** As part of its State Innovations Model (SIM) Testing Grant award, Vermont is in the process of, among other initiatives, piloting a shared savings Accountable Care Organization (ACO) model that includes pediatric Medicaid/CHIP beneficiaries.

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American Academy of Pediatrics