1. Fiscal Year 2015 Vermont Hospital Budgets Green Mountain Care Boar d September 11, 2014

2. Agenda  What were GMCB instructions?  What did GMCB receive?  GMCB staff recommendations - hospital net patient revenue increases  Hospital budgets we are voting on today. 2

3. GMCB FY15 Budget Instructions  Net patient revenue increase is allowed up to 3.0%  Increase applied to FY 2014 base budget of $2.182 billion  Possible new money - $65.5 million  The GMCB will examine whether health care investments are allowable for an additional 0.8% increase  Possible new money - $17.5 million  Total estimated new money increase allowed – $83 million; 3.8% increase  $83 million/ $2.182 billion = 3.8% 3

4. What did GMCB staff receive?  Budget instructions allowed: $83 million/$2.182 billion = 3.8%  Net patient revenue increase is allowed up to 3.0% or $65.5 million  New money actually requested - $55.3 million  The GMCB will examine whether health care investments are allowable for an additional 0.8% increase or $17.5 million  New money actually requested - $12.8 million  Total requested new money increase - $68.1 million; 3.1% increase  $68.1 million/ $2.182 billion = 3.1% 4

5. Explanation of GMCB staff recommendations 5

6. FY 15 based upon hospital budget requests received July 1 6

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8. Net Patient Revenue change GMCB staff recommendations 8

9. Hospital budgets we are voting on today 9

10. Net Patient Revenue change Analysis of unapproved hospital budgets 10

11. History of Approved Rates 11

12. Resources  Hospital Budget Hearings schedule on the web: http://www.gmcboard.vermont.gov/hospital_budgets/2014schedule http://www.gmcboard.vermont.gov/hospital_budgets/2014schedule  GMCB reports and hospital budget information on the web: http://gmcboard.vermont.gov/hospitalbudgets http://gmcboard.vermont.gov/hospitalbudgets  New process for enforcement of budgets once they have been approved: http://gmcboard.vermont.gov/sites/gmcboard/files/B14_enforcement_concepts041113.p df http://gmcboard.vermont.gov/sites/gmcboard/files/B14_enforcement_concepts041113.p df  To provide public comment on the web: http://gmcboard.vermont.gov/publiccomments http://gmcboard.vermont.gov/publiccomments  Email/Mail comments to: Anna.Bassford@state.vt.us Anna.Bassford@state.vt.us Green Mountain Care Board 89 Main Street Montpelier, Vt. 05620 12

13. Contact Info. If you have questions about this report or if you would like more detail, please contact GMCB (802) 828-2177 and ask for:  Michael Davis  Janeen Morrison  Lori Perry 13

14. End also known as the 19 th hole 14