From Single-Payer to All-Payer: Why Vermont's Reform Efforts Matter to U.S. Nurses and Their Patients
In October 2016, the State of Vermont signed an unprecedented agreement (The All-Payer Accountable Care Model) with the Federal Government to completely reform how health care is delivered and paid for in Vermont. This innovative agreement builds on sweeping 2011 legislation that set Vermont on a co...
Saved in:
| Published in | Nursing economic Vol. 35; no. 2; pp. 100 - 103 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Jannetti Publications, Inc
01.03.2017
Anthony J. Jannetti, Inc |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0746-1739 |
Cover
| Abstract | In October 2016, the State of Vermont signed an unprecedented agreement (The All-Payer Accountable Care Model) with the Federal Government to completely reform how health care is delivered and paid for in Vermont. This innovative agreement builds on sweeping 2011 legislation that set Vermont on a course towards payment reform designed to eliminate the fragmentation, overtreatment, and high costs associated with fee-for-service reimbursement. The strong emphasis on care coordination, preventative care, the patient experience, and population health ensures a crucial and growing role for nurses in this innovative environment and provides a model to inform the nation. Such state-led reform may have particular importance during the Trump administration, given the expected emphasis on state's rights and state leadership. |
|---|---|
| AbstractList | [...]Vermont's all-payer SSP still relied on fee-for-service and policymakers recognized that moving the health reform effort would entail a movement away from volume-based payments. [...]in 2015, the legislature authorized the GMCB and Secretary of Administration to "jointly explore an all-payer model" (Act 54 of 2015, Sec. 1). The value-based fixed revenue or capitation model reverses this scenario, as such unnecessary illnesses and accidents would hopefully be prevented. [...]unnecessary illness events create revenue loss, not revenue enhancement. Notably, provider selection of a payment pathway is not limited to physicians; NPs, clinical nurse specialists, and physician assistants must either be in an Advanced Alternative Payment Model or be subject to MIPS, excluded only if they bill less than $30,000 to Medicare, provide care to less than 100 Medicare patients per year, or 2017 is their first year as a Medicare provider (CMS, n.d.). In Vermont, NPs may be attributed providers for individuals with commercial insurance coverage and Medicaid.) The system redesign will reward the coordinated care delivered by nurses and NPs. [...]the work of nurses will be essential to meeting the 20 carefully selected population health goals outlined in the agreement within three overarching aims (improved access to primary care, reduced prevalence and morbidity of chronic disease, lower deaths due to suicide and drug overdose). > In October 2016, the State of Vermont signed an unprecedented agreement (The All-Payer Accountable Care Model) with the Federal Government to completely reform how health care is delivered and paid for in Vermont. > In October 2016, the State of Vermont signed an unprecedented agreement (The All-Payer Accountable Care Model) with the Federal Government to completely reform how health care is delivered and paid for in Vermont. > This innovative agreement builds on sweeping 2011 legislation that set Vermont on a course towards payment reform designed to eliminate the fragmentation, overtreatment, and high costs associated with fee-for-service reimbursement. > The strong emphasis on care coordination, preventative care, the patient experience, and population health ensures a crucial and growing role for nurses in this innovative environment and provides a model to inform the nation. > Such state-led reform may have particular importance during the Trump administration, given the expected emphasis on state's rights and state leadership. In October 2016, the State of Vermont signed an unprecedented agreement (The All-Payer Accountable Care Model) with the Federal Government to completely reform how health care is delivered and paid for in Vermont. This innovative agreement builds on sweeping 2011 legislation that set Vermont on a course towards payment reform designed to eliminate the fragmentation, overtreatment, and high costs associated with fee-for-service reimbursement. The strong emphasis on care coordination, preventative care, the patient experience, and population health ensures a crucial and growing role for nurses in this innovative environment and provides a model to inform the nation. Such state-led reform may have particular importance during the Trump administration, given the expected emphasis on state's rights and state leadership.In October 2016, the State of Vermont signed an unprecedented agreement (The All-Payer Accountable Care Model) with the Federal Government to completely reform how health care is delivered and paid for in Vermont. This innovative agreement builds on sweeping 2011 legislation that set Vermont on a course towards payment reform designed to eliminate the fragmentation, overtreatment, and high costs associated with fee-for-service reimbursement. The strong emphasis on care coordination, preventative care, the patient experience, and population health ensures a crucial and growing role for nurses in this innovative environment and provides a model to inform the nation. Such state-led reform may have particular importance during the Trump administration, given the expected emphasis on state's rights and state leadership. In October 2016, the State of Vermont signed an unprecedented agreement (The All-Payer Accountable Care Model) with the Federal Government to completely reform how health care is delivered and paid for in Vermont. This innovative agreement builds on sweeping 2011 legislation that set Vermont on a course towards payment reform designed to eliminate the fragmentation, overtreatment, and high costs associated with fee-for-service reimbursement. The strong emphasis on care coordination, preventative care, the patient experience, and population health ensures a crucial and growing role for nurses in this innovative environment and provides a model to inform the nation. Such state-led reform may have particular importance during the Trump administration, given the expected emphasis on state's rights and state leadership. |
| Audience | Professional |
| Author | Rambur, Betty Holmes, Jessica |
| Author_xml | – sequence: 1 givenname: Betty surname: Rambur fullname: Rambur, Betty – sequence: 2 givenname: Jessica surname: Holmes fullname: Holmes, Jessica |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29985575$$D View this record in MEDLINE/PubMed |
| BookMark | eNptkUtLxDAQx3NQfKx-BQkI6qVLmrRN420RX-BjcX0cS9pOdyNpokl62G9vZBUf7MxhmOH3_zPD7KINYw1soB3CsyJJORPbaNf7VxIjLfIttE2FKPOc5zsILpzt8UyZuYZkKpfgcLB4ovWqOcUviyV-BtdbE449foDOuh6fd7EEj29lCCvF03g2xneD8-CxNC1-XIByeCqDAhP8HtrspPaw_1VH6Oni_PHsKrm5v7w-m9wkc0bykORQN2Vd05YWpOS8ox2lGZOESJ5RxkTR8rxtmiZOBOVEdJzXtJFFWxJZiIKxETpZ-b45-z6AD1WvfANaSwN28BUlBS8FKRmJ6OE_9NUOzsTtKpqSlAvGs-yHmksNlTKdDU42n6bVJBOpKBmNOULJGmoOBpzU8RWdiuM__HgNH7OFXjVrBUe_BAuQOiy81UNQ1vi_4MHXVUPdQ1u9OdVLt6y-H84-AG82ok0 |
| ContentType | Journal Article |
| Copyright | COPYRIGHT 2017 Jannetti Publications, Inc. Copyright Anthony J. Jannetti, Inc. Mar/Apr 2017 |
| Copyright_xml | – notice: COPYRIGHT 2017 Jannetti Publications, Inc. – notice: Copyright Anthony J. Jannetti, Inc. Mar/Apr 2017 |
| DBID | CGR CUY CVF ECM EIF NPM 3V. 4S- 4U- 7RV 7WY 7WZ 7X7 7XB 87Z 88C 88E 8AO 8FI 8FJ 8FK 8FL 8G5 ABUWG AFKRA AN0 ASE AZQEC BENPR BEZIV CCPQU DWQXO FPQ FRNLG FYUFA F~G GHDGH GNUQQ GUQSH K60 K6X K6~ K9. KB0 L.- M0C M0S M0T M1P M2O MBDVC NAPCQ PHGZM PHGZT PJZUB PKEHL PPXIY PQBIZ PQBZA PQEST PQQKQ PQUKI Q9U S0X 7X8 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) BPIR.com Limited University Readers Nursing & Allied Health Database ABI/INFORM Collection ABI/INFORM Global (PDF only) Health & Medical Collection ProQuest Central (purchase pre-March 2016) ABI/INFORM Collection Healthcare Administration Database (Alumni) Medical Database (Alumni Edition) ProQuest Pharma Collection Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ABI/INFORM Collection (Alumni Edition) Research Library ProQuest Central (Alumni) ProQuest Central British Nursing Database British Nursing Index ProQuest Central Essentials ProQuest Central Business Premium Collection ProQuest One Community College ProQuest Central British Nursing Index (BNI) (1985 to Present) Business Premium Collection (Alumni) Health Research Premium Collection ABI/INFORM Global (Corporate) Health Research Premium Collection (Alumni) ProQuest Central Student Research Library Prep ProQuest Business Collection (Alumni Edition) British Nursing Index ProQuest Business Collection ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) ABI/INFORM Professional Advanced ABI/INFORM Global Health & Medical Collection (Alumni Edition) Healthcare Administration Database Medical Database Research Library Research Library (Corporate) Nursing & Allied Health Premium ProQuest Central Premium ProQuest One Academic ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Business ProQuest One Business (Alumni) ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central Basic SIRS Editorial MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) ProQuest Business Collection (Alumni Edition) Research Library Prep ProQuest Central Student ProQuest Central Essentials ABI/INFORM Complete Health Research Premium Collection Health & Medical Research Collection ProQuest Central (New) ProQuest Medical Library (Alumni) Business Premium Collection ABI/INFORM Global ProQuest One Academic Eastern Edition ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Business Collection ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest One Academic UKI Edition ProQuest Health Management (Alumni Edition) ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest One Academic (New) ABI/INFORM Global (Corporate) ProQuest One Business University Readers ProQuest One Academic Middle East (New) SIRS Editorial ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing Research Library (Alumni Edition) ProQuest Pharma Collection ProQuest Central ABI/INFORM Professional Advanced ProQuest Health & Medical Research Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea ProQuest Research Library ABI/INFORM Complete (Alumni Edition) ABI/INFORM Global (Alumni Edition) ProQuest Central Basic British Nursing Index with Full Text ProQuest Health Management British Nursing Index ProQuest Nursing & Allied Health Source ProQuest Medical Library ProQuest One Business (Alumni) BPIR.com Limited ProQuest Central (Alumni) Business Premium Collection (Alumni) MEDLINE - Academic |
| DatabaseTitleList | ProQuest Business Collection (Alumni Edition) MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database – sequence: 3 dbid: BENPR name: ProQuest Central url: http://www.proquest.com/pqcentral?accountid=15518 sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Nursing Medicine |
| EndPage | 103 |
| ExternalDocumentID | A491983232 29985575 |
| Genre | Journal Article |
| GeographicLocations | Vermont United States--US |
| GeographicLocations_xml | – name: Vermont – name: United States--US |
| GroupedDBID | --- -ET .GJ 0-6 04C 0R~ 123 1Z5 29N 2KS 36B 3V. 44B 53G 5RE 6PF 7RV 7WY 7X7 85S 88E 8AO 8F7 8FI 8FJ 8FL 8G5 8R4 8R5 AAWTL ABDBF ABFSI ABPPZ ABUWG ACGFO ACHQT ACIHN ACNCT ACUHS ACXZT ADBBV ADIMB ADMHC ADOJX AEAQA AENEX AFFNX AFKRA AGNAY AHMBA ALIPV ALMA_UNASSIGNED_HOLDINGS AQUVI AZQEC BCR BEEDS BENPR BEZIV BKEYQ BKOMP BLC BMSDO BPHCQ BVXVI C45 CCPQU CGR CUY CVF DWQXO EAD EAP EAS EBC EBD EBO ECF ECM ECT EHB EHE EHN EIF EIHBH EMK ENB ENC ENX EPL EPT ESX EX3 F5P FAC FAS FJW FRNLG FYUFA GNUQQ GROUPED_ABI_INFORM_COMPLETE GUQSH HMCUK H~W IAO IEA IHR IHW INH INR IOF IPO ITC J5H K60 K6~ M0C M0T M1P M2O N4W NAPCQ NPM O9- OEN OMK ONC ONOOK OVD P2P PCD PEA PKN PQBIZ PQBZA PQQKQ PROAC PSQYO PV9 Q2X Q~Q RWL RXW RZL S0X TAE TAF TEORI TH9 TUS U5U UKHRP UKR VVN WH7 WOW WQ9 XZL YR5 YZZ ZCG ZGI ZHY ZXP PHGZM PHGZT AN0 PJZUB PPXIY 4S- 4U- 7XB 8FK ASE FPQ K6X K9. L.- MBDVC PKEHL PQEST PQUKI Q9U 7X8 PUEGO |
| ID | FETCH-LOGICAL-g305t-5ebc8bb2d260877f2f2243a00a7423396d75dccca0092709f77b2ca6d80a69633 |
| IEDL.DBID | BENPR |
| ISSN | 0746-1739 |
| IngestDate | Thu Oct 02 18:51:10 EDT 2025 Mon Oct 06 17:13:15 EDT 2025 Mon Oct 20 22:09:12 EDT 2025 Thu Jun 12 23:40:20 EDT 2025 Mon Oct 20 16:24:24 EDT 2025 Thu May 22 21:07:42 EDT 2025 Wed Feb 19 02:42:49 EST 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 2 |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-g305t-5ebc8bb2d260877f2f2243a00a7423396d75dccca0092709f77b2ca6d80a69633 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
| PMID | 29985575 |
| PQID | 2101793744 |
| PQPubID | 30765 |
| PageCount | 4 |
| ParticipantIDs | proquest_miscellaneous_2067890830 proquest_journals_2101793744 gale_infotracmisc_A491983232 gale_infotracgeneralonefile_A491983232 gale_infotracacademiconefile_A491983232 gale_healthsolutions_A491983232 pubmed_primary_29985575 |
| PublicationCentury | 2000 |
| PublicationDate | 2017 Mar-Apr 20170301 |
| PublicationDateYYYYMMDD | 2017-03-01 |
| PublicationDate_xml | – month: 03 year: 2017 text: 2017 Mar-Apr |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States – name: Pitman |
| PublicationTitle | Nursing economic |
| PublicationTitleAlternate | Nurs Econ |
| PublicationYear | 2017 |
| Publisher | Jannetti Publications, Inc Anthony J. Jannetti, Inc |
| Publisher_xml | – name: Jannetti Publications, Inc – name: Anthony J. Jannetti, Inc |
| SSID | ssj0000165 |
| Score | 2.0781813 |
| Snippet | In October 2016, the State of Vermont signed an unprecedented agreement (The All-Payer Accountable Care Model) with the Federal Government to completely reform... > In October 2016, the State of Vermont signed an unprecedented agreement (The All-Payer Accountable Care Model) with the Federal Government to completely... [...]Vermont's all-payer SSP still relied on fee-for-service and policymakers recognized that moving the health reform effort would entail a movement away from... |
| SourceID | proquest gale pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 100 |
| SubjectTerms | Accountable care organizations Agreements Asthma Capitation Chief executive officers Cost control Drug abuse Emergency medical care Evaluation Fees & charges Forecasts and trends Governors Health care expenditures Health care policy Health care reform Health Care Reform - economics Health Care Reform - legislation & jurisprudence Health insurance Health Policy - economics Health Policy - legislation & jurisprudence Hospitalization Humans Innovations Internal medicine Laws, regulations and rules Legislatures Medicaid Medical economics Medicare Medicine Mental health Monetary incentives Nurse's Role Nurses Nursing Pilot projects Population Primary care Quality Reimbursement Single-Payer System - economics Single-Payer System - legislation & jurisprudence Social Change State budgets State Health Plans - economics State Health Plans - legislation & jurisprudence Suicides & suicide attempts Taxes United States Vermont |
| Title | From Single-Payer to All-Payer: Why Vermont's Reform Efforts Matter to U.S. Nurses and Their Patients |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/29985575 https://www.proquest.com/docview/2101793744 https://www.proquest.com/docview/2067890830 |
| Volume | 35 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVEBS databaseName: EBSCOhost Academic Search Ultimate issn: 0746-1739 databaseCode: ABDBF dateStart: 19830701 customDbUrl: https://search.ebscohost.com/login.aspx?authtype=ip,shib&custid=s3936755&profile=ehost&defaultdb=asn isFulltext: true dateEnd: 99991231 titleUrlDefault: https://search.ebscohost.com/direct.asp?db=asn omitProxy: true ssIdentifier: ssj0000165 providerName: EBSCOhost – providerCode: PRVPQU databaseName: Health & Medical Collection (Proquest) issn: 0746-1739 databaseCode: 7X7 dateStart: 19980101 customDbUrl: isFulltext: true dateEnd: 99991231 titleUrlDefault: https://search.proquest.com/healthcomplete omitProxy: true ssIdentifier: ssj0000165 providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central issn: 0746-1739 databaseCode: BENPR dateStart: 19980101 customDbUrl: http://www.proquest.com/pqcentral?accountid=15518 isFulltext: true dateEnd: 99991231 titleUrlDefault: https://www.proquest.com/central omitProxy: true ssIdentifier: ssj0000165 providerName: ProQuest |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3dT9swED9B0SZeELAPujFmJDSezBLnwwnSNJWpFZrUqgK69S2yHQceSsLa8MB_v7s4ZStCvCXy2Q-579z5dwBHxsQq9rXlNtWCh8ZqrgKpua-Ep9PAL3RAF4WHo_h8Ev6cRtM1GC3vwlBb5dImNoY6rwz9I_8qnCzJMPx-94fT1Ciqri5HaKh2tEL-rYEYW4cNQchYHdg464_GF_8DSkUOmDPmvqQJ4U8N8ZPwsnEzg23YauND1nMM3YE1W-7C62FbAd-FV216_wbsYF7dskt8nlk-Vhg6s7pivdnMvZyy3zcP7Bca3qqsjxfswlJ4yvpFQTUCNmxwNWnH5OTyhI2aXg6mypxdUemAjR3e6uItTAb9qx_nvB2awK9RdWseWW0SrUWOiUoiZSEKdNKB8jxFNdkgjXMZ5Qb5RmhL0ksLKbUwKs4TT8WojcE76JRVafeAFbnRKoksZhw2DLTRBOZnCq0oLVRJ2IXP9PEyd2PzUVWyXpj6KVqKQHThuKEgZannyqi25x_PJ9ipFcovK5TXDnT7OcL9FULUBrO6vORk1mrjIvsnO104fFymndRhVtrqHmnIbacYkHpdeO8kILtzgB8Zuuwkwrj2w8uHf4RNQU6_6VDbh049v7efMGSp9QGsy6k8aKXxLwc_7Hc |
| linkProvider | ProQuest |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3fb9MwED6NTbC9IBgwCoMZCdiTt8T5jTShAq06tlbV1o69ZbbjjIcuGW0mtH-Ov427OB10QrztLVHOlmLfnT_7fN8BvNU6lKGrDDeJEtzXRnHpRYq7Ujgq8dxceZQo3B-EvbH_9TQ4XYJf81wYulY594m1o85KTWfku8LqUuT7Hy9_cKoaRdHVeQkN2ZRWyPZqirEmsePAXP_ELdxsb_8Lzvc7Ibqd0eceb6oM8HPU9YoHRulYKZEhso-jKBc5rmqedBxJQUwvCbMoyDT-KNETRU6SR5ESWoZZ7MgQ1dfDfu_Biu_5CW7-Vj51BsOjvwmsAksEGnI3oorktx3_LThbL2vdR_CwwaOsbRXoMSyZYh0e9JuI-zrcb44TnoDpTssLdozPE8OHEqE6q0rWnkzsywf27fs1O0FHXxbV9owdGYLDrJPnFJNg_ZrHk1qMd4532KC-O8JkkbERhSrY0PK7zp7C-E6G7xksF2VhngPLM61kHBjc4RjfU1oReaDOlaRtqIz9FmzR4KU2Q_TGNNO2n7gJeiZPtGC7liDjrKZSyybHAPsnmqsFyfcLkueW5PtfgpsLgmh9evHzfCbTxvpn6R9dbcGbm8_Ukm60Faa8QhmCCQkCYKcFG1YD0ktLMJIiRIgDxNEv_t_5Fqz2Rv3D9HB_cPAS1gQBjvp23CYsV9Mr8wrhUqVeNzrJ4OyuzeA3ECcniw |
| linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1Nb9QwEB2VIiouiJavhdIaCejJbeJ8OKmE0Ip21VJ2taJd2FuwHac9bJOymwr1r_XXMRNnC1shbr0lythSkjfjZ8_4GeCtMbGKfW25TbXgobGaq0Bq7ivh6TTwCx3QRuH-ID4YhZ_H0XgJrud7Yaisch4Tm0CdV4bWyHeEw5IMw52iLYsY7vU-XvzkdIIUZVrnx2k4iBzZq184fZt9ONzDf_1OiN7-yacD3p4wwE8R5zWPrDaJ1iJHVp9IWYgCR7RAeZ6iBGaQxrmMcoMvSdJE0ksLKbUwKs4TT8UI3QD7vQf3JZpSOaEcy7-lqyInARpzX9JZ5LdD_i0i2wxovcfwqGWirOugswpLtlyDlX6ba1-DB-1CwhOwvWl1zo7xemL5UCFJZ3XFupOJu9ll38-u2DcM8VVZb83YV0tEmO0XBWUjWL9R8KQWo-3jbTZoqkaYKnN2QkkKNnTKrrOnMLqTj_cMlsuqtC-AFbnRKokszm1sGGijSTbQFFrRBFQlYQc26eNlbm_ojVNm3TD1U4xJgejAVmNBbllPlVHt7gLsnwSuFizfL1ieOnnvfxmuLxii35nFx_M_mbV-P8v-oLQDb24eU0uqZSttdYk2RBBSpL5eB547BGQXTlokQ3KQRMigX_6_801YQfBnXw4HR6_goSCm0ZTFrcNyPb20r5En1XqjASSDH3ftAb8B8z4lJQ |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=From+single-payer+to+all-payer%3A+why+Vermont%27s+reform+efforts+matter+to+U.S.+nurses+and+their+patients&rft.jtitle=Nursing+economic&rft.au=Rambur%2C+Betty&rft.au=Holmes%2C+Jessica&rft.date=2017-03-01&rft.pub=Jannetti+Publications%2C+Inc&rft.issn=0746-1739&rft.volume=35&rft.issue=2&rft.externalDocID=A491983232 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0746-1739&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0746-1739&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0746-1739&client=summon |