Message From the CEO

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Mike Del Trecco, VAHHS President & CEO


Remembering a great Vermont leader: Tom Huebner



We lost Tom Huebner this week, and it was a big blow for our state. Tom was a partner, a leader, a fixer and a believer that gifted Vermont with his grace, poise, skill and heart. Tom was forever optimistic—a devoted family man, full of love, and driven by a deep sense of purpose. That’s why he accomplished so much. His dedication to Vermont, especially to healthcare, was unwavering. He led Rutland Regional Medical Center for two decades and gave everything he had to make our state a better, healthier place. 


He always kept his eye on the greater good, seeking the right path forward—not necessarily the easiest or the one that best served RRMC, but the one that was honest, filled with integrity, and truly in Vermont’s best interest.


He was an unassuming but unmistakable solver of intractable problems and in health care, those are never too far away. He did so with compassion and resolve. When Tom was called to serve—on a board, a committee, at a distressed organization, you name it— we’d all breathe a collective sigh of relief. 


Tom’s impact over 30 years in Vermont health care is nothing short of massive. I’ve heard from friends, former health care leaders and colleagues all week expressing their deep sadness at this loss and profound gratitude for all Tom gave to us, and to Vermont. I’d like to share two notes I received from my good friends and predecessors at VAHHS that I believe beautifully illustrate the impact Tom has had on our state and the legacy of service he leaves.


From Jeff Tieman, President and CEO of the Colorado Hospital Association:


Even though I had not seen Tom Huebner in almost two years, he is on my mind a lot. I think of his careful wisdom, the way he could ask the tough questions but do so with respect and the intent to create dialogue instead of debate—conversation instead of confrontation. He was a master at that.


For me, Tom defined the terms statesman and mentor. He represented the community of hospitals, never just his own—and always in service of Vermonters. He was a wonderful diplomat and a kind, thoughtful person. I learned so much from him—about advocacy, about worklife balance, about life. I will miss him dearly and regularly.


From Bea Grause, President of the Hospital Association of New York State:


I think what stands out the most to me was Tom’s unmatched clarity of purpose and vision, which I believe came from his honesty, integrity and authenticy. In the moment, Tom could “cut the crap” as he liked to say and explain the unexplainable in a way that everyone could understand.  

 

Of course, it’s also hard to think about Tom without thinking about how much he loved life. He made work fun. You could tell he was in the room just by hearing his unmistakable laugh. He lit up the room with his smile, his hugs and his “let’s roll up our sleeves” approach to solving problems and erasing disagreements by bringing everyone to the table.  

 

He was my mentor and my friend and always an inspiration to me and so many others. Tom was one of those very rare leaders who not only made an impact in his own right but also remained passionately committed to all those who worked with him, so they would become better leaders as well. Vermont has sadly lost a giant of a man. 


Tom was more than a colleague or a mentor; he was a true friend—always nearby, always present when you needed him most. His kindness, wisdom, and steadfast support will be deeply missed. I hope we can all hold on to a page from the Tom Huebner guide to leadership: show up, do the work, be kind.  


 Thanks for reading a bit about our friend. Have a great week.


Legislative Update

Devon Green, VP of Government Relations


Legislative committees started taking up bills from the other chamber last week while multiple budget bills are on the move:

 

Budget Adjustment Act: Usually, the Budget Adjustment Act is passed and signed early in the session, but this year, the legislature is on its second attempt, after the governor vetoed the first version. The latest version, H.489, which removes $1.8M in funding for the hotel/motel program but extends the cold weather requirement until the end of June, will be on the Senate floor for a vote this week.

 

FY 2026 Budget: Last week, the House passed the FY 2026 budget, H.493, which included the following hospital-related proposals:

  • $4.4 million, as proposed by the governor, to transition participating hospitals from fee-for-service to a global payment system in preparation for the AHEAD model
  • $300,000 for 3 new positions to the Green Mountain Care Board, as recommended in the governor’s proposal
  • $866,000 to expand alternatives to emergency departments for mental health services

 

Data Privacy: The Senate passed S.71, a data privacy bill that exempts HIPAA-covered entities and nonprofits.

 

Private Equity: The House Health Care Committee heard from experts on the current private equity landscape. Dr. Nancy Kane, Professor of Health Policy and Management Emerita, Michael Fenne, with the Private Equity Stakeholder Project and Maureen Hensley-Quinn from NASHP presented on the private equity business model and tactics that leave health care systems struggling, especially those related to debt and real estate. The Health Care Advocate discussed how Vermont is particularly vulnerable to private equity bad practices at the moment while acknowledging that legislating the issue is complex and would take stakeholder work.

 

Freestanding Birth Centers: The House Health Care Committee heard testimony on S.18, the licensure of freestanding birth centers. VAHHS testified in support of increased Medicaid reimbursement rates for birthing centers in all settings and safe transfer protocols.

 

Legally Protected Health Services: VAHHS testified in support of S.28 in the House Health Care Committee. The bill prohibits providing misleading information about health care services and protects the personal information of licensed health care workers through an exemption in the public records act.

Top Stories

Tom Huebner, health care 'hero' dies at 71

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VTDigger


Tom Huebner, who died Wednesday at Massachusetts General Hospital at age 71 following a brief illness, served many roles across Vermont’s health care system, taking a human-centered approach and offering a visionary path forward for improving health care access, former colleagues recalled. 

In addition to leading Rutland Regional Medical Center for almost three decades, Huebner was instrumental in helping to steer Springfield Hospital through bankruptcy and served as champion of numerous health care initiatives in Rutland and beyond.


Huebner moved to Vermont after growing up in Chappaqua, New York, and working for 15 years in the medical field in Massachusetts, becoming a transformative leader for Rutland Regional Medical Center over 28 years, according to Huebner’s obituary.


Judi Fox, the hospital’s current president and chief executive officer, and Huebner both began working at the medical center in May of 1990 and he was approachable and a valuable mentor and sounding board for her as her career advanced, she said. Huebner was a positive “disrupter,” Fox said, in that he was not afraid to have hard conversations in order to improve health care systems in the state. 


“He had a great passion for Vermonters, and felt that every Vermonter deserved access to high quality care,” Fox said. “He wasn’t afraid of putting some creative options or considerations on the table, and did so in a way that was very disarming to his colleagues, and one that really allowed for lots of engagement around the table.”

Read more

Vt. Senate approves bill expanding power to Green Mountain Care Board

WCAX


The Vermont Senate on Wednesday gave preliminary approval to a major overhaul of Vermont’s health care system.


In the face of soaring costs for care and insurance premiums, lawmakers want the Green Mountain Care Board to have more authority over how much hospitals and other health care providers charge. The bill also calls for the creation of a committee to work on building a plan for a sustainable Vermont health system.


“It creates a statewide plan that brings hospitals to the table, it brings insurers to the table, the Green Mountain Care Board, the Agency of Human Services, policymakers. I think that’s really important here for all of our hospitals and our health care system,” said Devon Green with the Vermont Association of Hospitals and Health Systems.


In addition to the creation of an advisory committee tasked with forming a statewide health care delivery plan, it would require hospitals to be more transparent about executive compensation, and it directs the Green Mountain Care Board to implement reference-based pricing at hospitals. That means your cost of care anywhere in the state would be based on a set price, like Medicare. Legislators hope this tool will bring down the cost of procedures and insurance premiums.


“Currently our health care system is fragmented and silo-ed in various ways and this would allow us to have a unified vision for how the state’s health care system should be set up to make it more efficient and more cost effective,” said GMCB Chair Owen Foster.

The bill faces a final vote in the Senate on Thursday and will then move to the House.


Watch

UVM Medical Center offers $23M to primary care, insurer in surprise deal to avoid penalties

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Vermont Public


Vermont’s largest hospital has proposed a wide-ranging deal with the state health care regulator after months of private negotiations.


The move comes after the hospital exceeded its agreed-upon revenue by over $50 million last year and the Green Mountain Care Board is considering enforcement actions, while the hospital has appealed several budget decisions in court.


This week, the University of Vermont Medical Center in Burlington proposed paying out $38 million next year instead as part of a compromise that includes:

  • $11 million to primary care providers that aren’t affiliated with hospitals
  • $12 million to the insurance company BlueCross BlueShield of Vermont
  • Up to $15 million to hire consultants to identify ways to make the hospital more cost efficient and to hire an independent liaison to improve communication between the hospital and board around budgets

The proposal would also set stipulations around executive bonuses next year, partially tying them to outcomes like reducing emergency department visits and bringing down commercial insurance rates.


In exchange, state regulators would drop any enforcement action against the hospital for their revenue overages last year. 


It would also give the hospital more time to pay back previous overages — in the form of reducing patient revenue — which exceeded $80 million in fiscal year 2023. That means losing out on the potential to require the hospital to further reduce its revenue, which would drive down health care prices in the short term.



“That’s ultimately the trade off,” said Owen Foster, the chair of the Green Mountain Care Board.


“There’s some really important funding for primary care and BlueCross, there’s some retention of monies and some spreading out of monies over time for UVM,” he said.


Read more

5 years after COVID hit, Dr. Mark Levine still feels good about Vermont's response

Vermont Public


Dr. Mark Levine was visiting his 6-month-old granddaughter on the night when he said everything hit.


“My phone was off the hook, I couldn’t even have a proper visit,” he told Vermont Edition on Tuesday. It was the beginning of March 2020.


“Thank God I decided to come home right away, because I might never have got a plane again to do that.”


In the following days, he would speak at a state press conference describing the first cases of COVID-19 in Vermont, then, a few weeks later, the first deaths from the disease, and the state’s lockdown order by the end of that month. He would go on to provide updates at hundreds of press conferences as the pandemic wore on.


“The whole goal we dedicated ourselves to was trying to prevent as many of those tragic outcomes as possible,” he said.


“We feel pretty comfortable about those early decisions we made.”


Levine noted that Vermont had the lowest death rate from COVID in the continental U.S., and hospital ICUs were never overflowing with patients. He attributes this in part to people following public health guidance, including lengthy lockdowns.

“If it went on a little too long, it was because we were being more conservative, and wanted to … protect public health and public safety to the greatest degree possible,” he said.


Many described Levine’s updates as a lifeline, offering a calm, steadying voice during a scary time. “I just feel like you have been in my living room these past years,” Karen, from Moretown, wrote into Vermont Edition.


Read more

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