Connect with us

Vermont

As UVM Health Network cuts services in Vermont, it expands in New York  – VTDigger

Published

on

As UVM Health Network cuts services in Vermont, it expands in New York  – VTDigger


Sunny Eappen, president and CEO of the University of Vermont Health Network, speaks at an event in South Burlington on December 15, 2022. File photo by Glenn Russell/VTDigger

Last month, the University of Vermont Health Network announced a slate of wide-ranging cuts to its Vermont facilities. 

Those cuts — which drew a swift and furious outcry — included closing an inpatient psychiatric unit at Central Vermont Medical Center, ending kidney transplants at the University of Vermont Medical Center, and shuttering a primary care clinic in Waitsfield. 

Across Lake Champlain, however, the situation looks very different. Over the past few years, UVM Health Network’s facilities in northern New York have added capacity and increased the volume of certain procedures.

Over the past two years, Champlain Valley Physicians Hospital, in Plattsburgh, has worked to increase the number of surgeries it performs, according to Annie Mackin, a network spokesperson. During that time, Elizabethtown Community Hospital’s Ticonderoga campus has expanded clinics in women’s health and dermatology. Late in 2023, a primary care clinic operated by another health care organization opened at Alice Hyde Medical Center, in Malone. And earlier this year, Alice Hyde hired a general surgeon, the network announced in October. 

Advertisement

The network hopes to add even more capacity in the state in the coming years, leaders say. 

“In New York, we’re doing our very best to expand services, to grow opportunities, to be able to have more opportunities to see patients over there,” Steven Leffler, president and chief operating officer of UVM Medical Center, said in an interview last month. 

“We’re hoping they’ll have more inpatient access to cover patients who can’t stay here,” Leffler said, referring to the Burlington hospital. “We’re hoping we can move more surgical cases there as a way to make sure that access is maintained for people who may have, unfortunately, more (of a) challenge getting access here.”

Green Mountain Care Board trims hospital requests for increases to 2025 budget, service chargesAdvertisement


‘Patient-centered and patient-focused’

Leaders of the six-hospital network said the additions in New York are simply part of ongoing efforts to help patients access more care more easily — similar to what the network seeks to do in Vermont. 

The University of Vermont Medical Center, Central Vermont Medical Center and Porter Medical Center, in Middlebury, are all part of the UVM Health Network.

Advertisement

The recent cuts on this side of the lake, administrators say, were due solely to the actions of the Green Mountain Care Board, a state regulator that capped network hospital budgets and ordered UVM Medical Center to reduce its charges to private health insurers earlier this year.

Additions at New York hospitals, which are not under the board’s jurisdiction, have nothing to do with the board’s orders and often predate them, network leaders said. 

That work “is totally independent and unrelated to regulatory action here,” Sunny Eappen, the president and CEO of UVM Health Network, said in an interview.

Expanding services in New York, however, does benefit Vermont’s hospitals. In the 2023 fiscal year, New York residents contributed roughly 14% of the University of Vermont Medical Center’s patient revenue, to the tune of $245 million, according to financial documents submitted to the Green Mountain Care Board.

In Vermont, the care board places limits on how much hospitals can bring in from patient care — limits that UVM Health Network officials have said are onerous and harmful. By adding capacity in New York, the network can keep some of those patients in their communities and out of Vermont hospitals. 

Advertisement

Owen Foster, the chair of the Green Mountain Care Board, declined to comment, saying he did not know the details of the network’s New York hospital services. 

In 2025, Champlain Valley Physicians Hospital plans to add operating room capacity for general surgery, urology, ear nose and throat procedures and orthopedics, according to Mackin, the network spokesperson. The network has invested in some “anesthesiology resources” for that expansion and is recruiting urology and orthopedics clinicians, she said.

The network has also informed about 370 New York patients that they have the option of getting imaging procedures — such as x-rays — in-state, rather than in Vermont, Mackin said. UVM Health Network is also “evaluating opportunities” to add gastroenterology, cardiology and infusion procedures in New York, she said. 

“It’s patient-focused and patient-centered, right?” Lisa Mark, the chief medical officer of Champlain Valley Physicians Hospital and Alice Hyde Medical Center, said in an interview. “So they don’t have to travel across the lake if they don’t need to.”

Advertisement
” data-medium-file=”https://vtdigger.org/wp-content/uploads/2023/04/owen-foster-4-20231130-300×200.jpg” data-large-file=”https://i0.wp.com/vtdigger.org/wp-content/uploads/2023/04/owen-foster-4-20231130-1200×799.jpg?ssl=1″ fifu-data-src=”https://i0.wp.com/vtdigger.org/wp-content/uploads/2023/04/owen-foster-4-20231130-1200×799.jpg?ssl=1″ alt=”A man in a suit and tie is speaking in front of a screen.” class=”wp-image-564713″ srcset=”https://i0.wp.com/vtdigger.org/wp-content/uploads/2023/04/owen-foster-4-20231130-1200×799.jpg?ssl=1 1200w, https://vtdigger.org/wp-content/uploads/2023/04/owen-foster-4-20231130-300×200.jpg 300w, https://vtdigger.org/wp-content/uploads/2023/04/owen-foster-4-20231130-125×83.jpg 125w, https://vtdigger.org/wp-content/uploads/2023/04/owen-foster-4-20231130-768×511.jpg 768w, https://vtdigger.org/wp-content/uploads/2023/04/owen-foster-4-20231130-1536×1022.jpg 1536w, https://vtdigger.org/wp-content/uploads/2023/04/owen-foster-4-20231130-1024×681.jpg 1024w, https://vtdigger.org/wp-content/uploads/2023/04/owen-foster-4-20231130-1568×1044.jpg 1568w, https://vtdigger.org/wp-content/uploads/2023/04/owen-foster-4-20231130-400×266.jpg 400w, https://vtdigger.org/wp-content/uploads/2023/04/owen-foster-4-20231130.jpg 2000w” sizes=”(max-width: 1200px) 100vw, 1200px”>
Owen Foster, chair of the Green Mountain Care Board, testifies before the Health Reform Oversight Committee at the Statehouse in Montpelier on November 30, 2023. File photo by Glenn Russell/VTDigger

Vermont and New York

Over the past few months, UVM Health Network has drawn scrutiny for the movement of money between its Vermont and New York hospitals.

That attention was sparked by the revelation, during the Green Mountain Care Board’s annual hospital budget review process, that Burlington’s UVM Medical Center was owed $60 million by Champlain Valley Physicians Hospital in Plattsburgh.

That has led to fears that Vermonters are subsidizing New York medical facilities. In comments submitted to the Green Mountain Care Board in August, Vermont’s chief health care advocate Mike Fisher and his staff members charged that the network “has consistently weakened its financial position by choosing to transfer monies to the New York hospitals.”

Network leaders have repeatedly denied that those transfers — which have paid for pharmaceuticals, physicians’ salaries and other expenses — had any impact on Vermonters. Those transfers affect a hospital’s cash on hand, leaders said, but do not affect margins or Vermonters’ commercial insurance rates.

“We’ve been very, very clear on that,” Rick Vincent, the network’s executive vice president and chief financial officer, said in an interview. “The Vermont commercial rates are not impacted by those New York hospitals.”

Advertisement

Last month, the care board asked the network for more information about the New York hospitals’ finances, including their operating margins and cash on hand. 

UVM Health Network initially declined to provide that information. But Eappen said in an interview he does intend to share the hospitals’ financial information with the board. 

According to publicly available nonprofit tax forms, some of the network’s New York hospitals have struggled in the past years. Champlain Valley Physicians Hospital lost nearly $30 million in its 2022 fiscal year and nearly $40 million in the 2023 fiscal year, according to tax records, and Alice Hyde Medical Center lost about $20 million in those two years, as well. Elizabethtown Community Hospital, meanwhile, has reported positive margins for the past decade.

Eappen said that Champlain Valley and Alice Hyde have grown more stable in the past year, although financial data is not yet publicly available.

There are “not yet” plans to shift more services to New York as a result of the Green Mountain Care Board’s orders, Eappen said. But keeping care close to home for residents of northern New York is a win-win, he said. 

Advertisement

“If New Yorkers stay in New York, it doesn’t contribute to that Vermont revenue piece,” Eappen said, referring to patient revenue, which is capped by the Green Mountain Care Board. “And so if we do it well and keep New Yorkers in New York, it’s a positive on both ends.”





Source link

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Vermont

OUTDOOR ACCESS FOR DISABLED IN VERMONT

Published

on

OUTDOOR ACCESS FOR DISABLED IN VERMONT


Louis Arevalo rides his adaptive mountain bike through the trails at Randolph Town Forest during an adaptive assessment on Thursday, June 25. Nick Bennette, with the Vermont Mountain Bike Association, rides behind.

Zoe McDonald/Vermont Public


hide caption

Advertisement



toggle caption

Zoe McDonald/Vermont Public

Mountain bike enthusiasts have been working for years on an ambitious 485-mile, multi-use trail called The Velomont that will span the length of the state.

When finished, the collaborative project will knit together existing trail networks, connect 27 communities and include huts and hostels for overnight stays.

Advertisement

New trail construction is finally ramping up after years spent on permits, plans and public input. And organizers say they want to make it as user-friendly as possible.

“For us, it’s not a huge lift to just be mindful when we’re trying to build trail or improve trail to think about the adaptive rider,” said Angus McCusker, the Velomont trail director with the nonprofit Vermont Huts and Trails.

McCusker is referring to the growing number of disabled athletes who mountain bike with specially designed equipment.

“The challenge,” said McCusker, “is we’re connecting to existing trail networks that were never intended for adaptive bikes. So, where we can, we’re trying to do adaptive assessments.”

Louis Arevalo, left, straps into his adaptive mountain bike and chats with Jeff Dickson of the Vermont Mountain Bike Association, Angus McCusker with Vermont Huts and Trails, and volunteer Thatcher Hinman (all from left) ahead of a trail accessibility assessment in Randolph, Vermont, on Thursday, June 25, 2026.

Louis Arevalo, left, straps into his adaptive mountain bike and chats with Jeff Dickson of the Vermont Mountain Bike Association, Angus McCusker with Vermont Huts and Trails, and volunteer Thatcher Hinman (all from left) ahead of a trail accessibility assessment in Randolph, Vermont, on Thursday, June 25, 2026.

Zoe McDonald/Vermont Public

Advertisement


hide caption



toggle caption

Zoe McDonald/Vermont Public

Advertisement

Louis Arevalo of Essex Junction is one of several adaptive athletes helping with that, most recently on some slightly overgrown single track trails in Randolph, a central Vermont town nestled along the eastern edge of the Green Mountains.

Arevalo pedals with his hands. He rides an electric powered recumbent-style three-wheeler that sits low to the ground. His service dog Azul chases along nearby.

“Once you realize what these bikes are capable (of) or this equipment actually opens up, it kind of blows your mind,” he said.

Arevalo was paralyzed in a skiing accident six years ago. Being able to get back on the trails has been a game changer, he said smiling.

“There’s a reason we live in the Green Mountain state. It’s because we like to get outside…you know, seeing the squirrels and chipmunks and birds… I mean, it’s life.”

Advertisement
Nick Bennette, of the Vermont Mountain Biking Association, guides an adaptive bike over a narrow bridge, pointing out that other adaptive riders may have trouble getting across.

Nick Bennette, of the Vermont Mountain Biking Association, guides an adaptive bike over a narrow bridge, pointing out that other adaptive riders may have trouble getting across.

Zoe McDonald/Vermont Public


hide caption



toggle caption

Zoe McDonald/Vermont Public

Advertisement

But adaptive rigs like Arevalo’s are wider and heavier than regular mountain bikes, and not all trails are user-friendly.



Source link

Advertisement
Continue Reading

Vermont

VT Lottery Powerball, Gimme 5 results for July 8, 2026

Published

on


Powerball, Mega Millions jackpots: What to know in case you win

Here’s what to know in case you win the Powerball or Mega Millions jackpot.

Just the FAQs, USA TODAY

The Vermont Lottery offers several draw games for those willing to make a bet to win big.

Advertisement

Those who want to play can enter the MegaBucks and Lucky for Life games as well as the national Powerball and Mega Millions games. Vermont also partners with New Hampshire and Maine for the Tri-State Lottery, which includes the Mega Bucks, Gimme 5 as well as the Pick 3 and Pick 4.

Drawings are held at regular days and times, check the end of this story to see the schedule.

Here’s a look at July 8, 2026, results for each game:

Winning Powerball numbers from July 8 drawing

12-29-37-43-55, Powerball: 18, Power Play: 4

Check Powerball payouts and previous drawings here.

Advertisement

Winning Gimme 5 numbers from July 8 drawing

01-05-23-36-38

Check Gimme 5 payouts and previous drawings here.

Winning Pick 3 numbers from July 8 drawing

Day: 0-1-3

Evening: 2-4-0

Check Pick 3 payouts and previous drawings here.

Advertisement

Winning Pick 4 numbers from July 8 drawing

Day: 3-9-5-9

Evening: 9-2-0-9

Check Pick 4 payouts and previous drawings here.

Winning Megabucks Plus numbers from July 8 drawing

12-15-23-27-40, Megaball: 03

Check Megabucks Plus payouts and previous drawings here.

Advertisement

Winning Millionaire for Life numbers from July 8 drawing

16-18-43-48-50, Bonus: 01

Check Millionaire for Life payouts and previous drawings here.

Feeling lucky? Explore the latest lottery news & results

Are you a winner? Here’s how to claim your lottery prize

For Vermont Lottery prizes up to $499, winners can claim their prize at any authorized Vermont Lottery retailer or at the Vermont Lottery Headquarters by presenting the signed winning ticket for validation. Prizes between $500 and $5,000 can be claimed at any M&T Bank location in Vermont during the Vermont Lottery Office’s business hours, which are 8a.m.-4p.m. Monday through Friday, except state holidays.

For prizes over $5,000, claims must be made in person at the Vermont Lottery headquarters. In addition to signing your ticket, you will need to bring a government-issued photo ID, and a completed claim form.

Advertisement

All prize claims must be submitted within one year of the drawing date. For more information on prize claims or to download a Vermont Lottery Claim Form, visit the Vermont Lottery’s FAQ page or contact their customer service line at (802) 479-5686.

Vermont Lottery Headquarters

1311 US Route 302, Suite 100

Barre, VT

05641

Advertisement

When are the Vermont Lottery drawings held?

  • Powerball: 10:59 p.m. Monday, Wednesday, and Saturday.
  • Mega Millions: 11 p.m. Tuesday and Friday.
  • Gimme 5: 6:55 p.m. Monday through Friday.
  • Lucky for Life: 10:38 p.m. daily.
  • Pick 3 Day: 1:10 p.m. daily.
  • Pick 4 Day: 1:10 p.m. daily.
  • Pick 3 Evening: 6:55 p.m. daily.
  • Pick 4 Evening: 6:55 p.m. daily.
  • Megabucks: 7:59 p.m. Monday, Wednesday and Saturday.
  • Millionaire for Life: 11:15 p.m. daily

What is Vermont Lottery Second Chance?

Vermont’s 2nd Chance lottery lets players enter eligible non-winning instant scratch tickets into a drawing to win cash and/or other prizes. Players must register through the state’s official Lottery website or app. The drawings are held quarterly or are part of an additional promotion, and are done at Pollard Banknote Limited in Winnipeg, MB, Canada.

This results page was generated automatically using information from TinBu and a template written and reviewed by a Vermont editor. You can send feedback using this form.



Source link

Continue Reading

Vermont

Poll: Most young Vermonters say they’re likely to leave state amid affordability concerns – VTDigger

Published

on

Poll: Most young Vermonters say they’re likely to leave state amid affordability concerns – VTDigger


University of Vermont students gather at a protest on campus in Burlington in April 2022. File photo by Glenn Russell/VTDigger

Theo Wells-Spackman is a Report for America corps member who reports for VTDigger.

Nearly two-thirds of Vermonters ages 18 to 34 say they’re likely to leave the state within five years in search of adventure or a cheaper place to live, according to a poll from the University of New Hampshire.  

Overall, the poll estimated that 86% of Vermonters find the state at least somewhat unaffordable.

“The issue of affordability has been a very important thing across New England,” said UNH political science professor Andrew Smith, who runs the institution’s survey center. The poll, released Tuesday, includes response data for five New England states, excluding Maine.

Advertisement

In general, the survey found, most residents say Vermont is a good place to live — or even a great one.

Nevertheless, about 40% of Vermonters of all ages want to leave the state, according to the report from Smith’s team. Housing prices and other cost-of-living concerns are the foremost drivers of the trend, researchers found, followed by tax rates. Connecticut and Rhode Island showed similar overall rates of desired departure.

Among young people, though, Vermont’s numbers stand out.

Smith’s research found that 63% percent of Vermonters between 18 and 34 say they’re somewhat or very likely to move out of the state in the next five years. That’s a much higher rate of planned departure than in any other state surveyed. Responses varied from 28% in New Hampshire to 44% in Connecticut. 

But according to Smith, New England often sees a beneficial “boomerang effect”: former residents eventually returning to their home states, often as higher earners.

Advertisement

In a Wednesday press conference, Gov. Phil Scott said that although he hadn’t seen the poll, he wasn’t surprised by reports that many Vermonters are considering a move.

“I think there’s a lot of frustration out there,” he said. “We have a lot of work to do to make Vermont the affordable state that these folks need.”

About half of young Vermonters who said they want to move away cited the cost of living as a primary reason, while roughly as many said they were looking for a “new adventure or more excitement.” By contrast, less than a quarter of those older than 64 foresee leaving, according to the poll. 

Outmigration of young people could worsen the state’s existing workforce shortage, according to Kevin Chu, who leads the research nonprofit the Vermont Futures Project. Scott’s administration has made workforce development a priority in light of what his office called a “growing demographic crisis.”

Chu added that by design, services such as public education and healthcare are supported disproportionately by working households that tend to pay higher taxes and insurance premiums. When the base of income earners shrinks, the problem can then intensify for those bearing the brunt of rising costs, he added.

Advertisement

“There’s a demographic reality in which the economic burden is being shouldered by a small and shrinking pool of young working-age people,” Chu said.

Tuesday’s poll also indicated that Vermonters who have completed more education say they’re less likely to leave the state. For Chu, that’s likely because such households tend to earn more — and also because they tend to be older.

Julie Lowell, deputy director of the Montpelier research nonprofit Public Assets Institute, offered a grain of salt in relation to Tuesday’s report. While migration is crucial to keep track of, Vermont’s overall population turnover tends to be about 5% or less each year, she said. And although the state does have an unusual number of young people intending to leave, that age group is always the most mobile in any study, she said.

In recent years, more of Vermont’s older population has possessed more wealth to contribute to public services, Lowell added. For example, she said, her organization has found that more Vermonters aging out of the workforce has not appeared to decrease state tax revenues in recent years. 

But it’s true that many Vermonters are struggling to make ends meet, she said. The state’s lowest earners have seen low wage growth in relation to other New England states, she said, and basic needs are getting harder to cover.

Advertisement

“We’re seeing prices, in large part driven by housing and healthcare, really outpacing our increases in household incomes,” Lowell said. “Many people are feeling insecure.”





Source link

Continue Reading
Advertisement

Trending