Vermont Blueprint for Health Chronic Care Initiative



The Vermont Blueprint for Health Chronic Care Initiative targets the top five percent of high-cost Medicaid beneficiaries in Vermont and provides them with care management including special access to pharmacists, dietitians and additional practice supports.

Partner Organizations


Target Population

Medicaid enrollees with high ER utilization, frequent hospitalizations, high predictability of future healthcare complications, multiple pharmacies and/or providers, medication non-adherence or complex medical/psychosocial histories

Care Team

Case manager, nutritionist, pharmacist, behavioral health professional, nurses, physicians


2007 - present

Results/ Studies

2014 successes include:

  • Net savings to Vermont Medicaid equaling $30.5 million over anticipated costs
  • 15% decrease in unnecessary emergency room utilization 
  • 30% decrease in inpatient hospital stays
  • 31% decrease in 30-day hospital readmissions


Federal grant


Program website