{"id":413315,"date":"2026-01-17T17:10:16","date_gmt":"2026-01-17T17:10:16","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/413315\/"},"modified":"2026-01-17T17:10:16","modified_gmt":"2026-01-17T17:10:16","slug":"bluecross-blueshields-new-ceo-takes-over-as-insurer-faces-federal-and-statewide-challenges","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/413315\/","title":{"rendered":"BlueCross BlueShield\u2019s new CEO takes over as insurer faces federal and statewide challenges"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"800\" data-attachment-id=\"639903\" data-permalink=\"https:\/\/vtdigger.org\/bcbs_ceo\/\" data-orig-file=\"https:\/\/vtdigger.org\/wp-content\/uploads\/2026\/01\/BCBS_CEO.jpg\" data-orig-size=\"2000,1333\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"BCBS_CEO\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Beth Roberts, the new president and CEO of BlueCross BlueShield of Vermont (Courtesy photo).&lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/vtdigger.org\/wp-content\/uploads\/2026\/01\/BCBS_CEO-300x200.jpg\" data-large-file=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2026\/01\/BCBS_CEO-1200x800.jpg\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2026\/01\/BCBS_CEO-1200x800.jpg\" alt=\"A brick building with Blue Cross Blue Shield logos and a portrait of a smiling woman with blonde hair in an inset.\" class=\"wp-image-639903\"  \/>Beth Roberts, the new president and CEO of BlueCross BlueShield of Vermont (Courtesy photo).<\/p>\n<p>On Saturday, Beth Roberts officially took the helm as the new president and CEO of BlueCross BlueShield of Vermont.<\/p>\n<p>Less than a week later, the window closed on open enrollment for Affordable Care Act marketplace plans, without any <a href=\"https:\/\/www.cbsnews.com\/news\/aca-subsidies-insurance-open-enrollment-deadline-jan-15\/\" rel=\"nofollow noopener\" target=\"_blank\">extension of the federal tax credits<\/a> that made those plans affordable for thousands of Vermonters.<\/p>\n<p>It\u2019s no secret that Roberts assumes the role as the health care industry \u2014 and her new employer, specifically \u2014 faces dire straits.<\/p>\n<p>READ MORE<\/p>\n<p>\t\t\t\t\t\t\t\t<a href=\"https:\/\/vtdigger.org\/2025\/08\/13\/discord-with-bcbs-vt-sparked-flashpoint-in-uvm-health-network-annual-budget-hearing\/\" rel=\"bookmark nofollow noopener\" tabindex=\"-1\" aria-hidden=\"true\" target=\"_blank\"><br \/>\n\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"900\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2026\/01\/Leffler-Eappen-composite-1200x900.png\" class=\"attachment-newspack-article-block-landscape-large size-newspack-article-block-landscape-large wp-post-image\" alt=\"Discord with BCBS VT sparked flashpoint in UVM Health Network annual budget hearing\" data-hero-candidate=\"1\"   data-attachment-id=\"629408\" data-permalink=\"https:\/\/vtdigger.org\/2025\/08\/13\/discord-with-bcbs-vt-sparked-flashpoint-in-uvm-health-network-annual-budget-hearing\/leffler-eappen-composite\/\" data-orig-file=\"https:\/\/vtdigger.org\/wp-content\/uploads\/2025\/08\/Leffler-Eappen-composite.png\" data-orig-size=\"2000,1333\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Leffler-Eappen-composite\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Sunny Eappen, president and CEO of the University of Vermont Health Network; and Stephen Leffler, president and COO of University of Vermont Medical Center. Photos by Glenn Russell\/VTDigger&lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/vtdigger.org\/wp-content\/uploads\/2025\/08\/Leffler-Eappen-composite-300x200.png\" data-large-file=\"https:\/\/vtdigger.org\/wp-content\/uploads\/2025\/08\/Leffler-Eappen-composite-1200x800.png\"\/>\t\t\t\t\t\t\t\t\t\t\t\t<\/a><\/p>\n<p>\t\t\t\t\t\t\tby <a class=\"url fn n\" href=\"https:\/\/vtdigger.org\/author\/greta-solsaa\/\" rel=\"nofollow noopener\" target=\"_blank\">Greta Solsaa<\/a><br \/>\n\t\t\t\t\t\tAugust 13, 2025, 5:14 pmAugust 13, 2025, 5:14 pm\t\t\t\t<\/p>\n<p>BlueCross BlueShield of Vermont has faced serious risks to its solvency and intensely butted heads with Vermont\u2019s main hospital system. All the while, Vermonters face some of the highest health care costs in the country.\u00a0<\/p>\n<p>In an interview with VTDigger, Roberts said she was optimistic she will turn a new page on affordability in the state.\u00a0<\/p>\n<p>\u201cMy career has been built on running towards the fire,\u201d she said. \u201cEven though it\u2019s in a very complicated state right here, and health care is in a complicated way right now, I think there\u2019s a lot of great work that can be done.\u201d\u00a0<\/p>\n<p>Prior to joining BlueCross BlueShield, Roberts worked as president of the Beth Israel Lahey Health Performance Network, a Boston-area health care provider. Prior to that, she built her career in health insurance groups across New England, including 20 years working at Harvard Pilgrim Health Care.\u00a0<\/p>\n<p>During her time at Beth Israel Lahey, she worked on negotiating contracts between the hospitals and health insurers \u2014\u00a0something that\u2019s primed her, she said, for a healthier collaboration with the University of Vermont Health network. In negotiating past contracts and rates, the insurer and hospital network have had an \u201congoing adversarial relationship,\u201d <a href=\"https:\/\/vtdigger.org\/2025\/08\/13\/discord-with-bcbs-vt-sparked-flashpoint-in-uvm-health-network-annual-budget-hearing\/\" rel=\"nofollow noopener\" target=\"_blank\">as a state-appointed liaison described it<\/a>, in part over the <a href=\"https:\/\/vtdigger.org\/2025\/12\/22\/vermonts-largest-health-insurer-tells-you-to-avoid-the-states-largest-hospital-in-new-marketing-campaign\/\" rel=\"nofollow noopener\" target=\"_blank\">costs of care<\/a> for patients covered by BlueCross BlueShield.<\/p>\n<p>In October, the health network gained new leadership under Steve Leffler, who was <a href=\"https:\/\/www.uvm.edu\/larnermed\/medcommunications\/news\/uvm-health-board-trustees-appoints-leffler-new-ceo-msn-reports\" rel=\"nofollow noopener\" target=\"_blank\">officially named CEO in January<\/a> after serving as <a href=\"https:\/\/vtdigger.org\/2025\/10\/15\/from-sunny-to-steve-the-hand-off-at-the-head-of-the-states-largest-hospital-system\/\" rel=\"nofollow noopener\" target=\"_blank\">interim following former CEO Sunny Eappen\u2019s decision to step down<\/a> in the fall.<\/p>\n<p>Roberts joined BlueCross BlueShield on Nov. 10, and worked with outgoing president and CEO Don George to transfer responsibilities during the two months they overlapped.<\/p>\n<p>Both of the new leaders at UVM and BlueCross negotiated the new contract for 2026. The outcome was \u201ca better deal than what was expected,\u201d Roberts said, though she did not elaborate further. That work has been a primary piece of Roberts\u2019 first few months in the role.<\/p>\n<p>\u201cI think there was a strong desire by both BlueCross BlueShield of Vermont and UVM Health network to do something different,\u201d she said.\u00a0<\/p>\n<p>She sees more room for cooperation with the state\u2019s hospitals, beyond UVM, like trying to \u201ccut down the noise\u201d and streamline policies across providers and insurers, so that there is less time spent tailoring rates for specific plans and providers. She also noted that the hospitals and insurers can share resources better \u2014\u00a0things like care managers and quality experts that each entity has.\u00a0<\/p>\n<p>Both the hospital and the insurer are facing the loss of federal enhanced premium tax credits, the subsidies that made plans on the Affordable Care Act marketplace actually <a href=\"https:\/\/vtdigger.org\/2025\/10\/31\/on-vermont-health-connect-annual-premium-prices-have-doubled-or-more\/\" rel=\"nofollow noopener\" target=\"_blank\">affordable for thousands<\/a> of Vermonters.\u00a0<\/p>\n<p>Early data from the Department of Vermont Health Access shows that more than 2,000 people across the state unenrolled from those marketplace plans (including BlueCross BlueShield and MVP Health Care).\u00a0<\/p>\n<p>Roberts said she is working on finding affordable pathways for those who have lost these subsidies.\u00a0<\/p>\n<p>She said the insurer is working with Vermont legislators and the regulator to find \u201cwiggle room\u201d in what the plans cover, to make them less expensive.\u00a0<\/p>\n<p>She is also exploring whether there is appetite for less expensive plans that cover preventative, wellness care and catastrophic care, without as much coverage for some standard care types that fall in the middle of that range of coverage.<\/p>\n<p>\u201cAffordable\u201d has become something of a buzzword in the Vermont health care space \u2014\u00a0and Roberts is no exception to that. But she said she\u2019s also added a new adjective to the mix: sustainable.\u00a0<\/p>\n<p>She knows that bringing down premium costs in Vermont and making care affordable again is going to take a long, sustained effort.\u00a0<\/p>\n<p>\u201cWe are so far off the mark on affordability in Vermont, with (spending on healthcare) being 19.6% of household income,\u201d she said. \u201cIt is going to take a lot of years to get from the 19.6% to a more reasonable level, so we have to keep our eye on that frame for a duration of time before we can shift down.\u201d\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"Beth Roberts, the new president and CEO of BlueCross BlueShield of Vermont (Courtesy photo). On Saturday, Beth Roberts&hellip;\n","protected":false},"author":2,"featured_media":413316,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[2139,177446,97,252,253,10621,132341],"class_list":["post-413315","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-affordable-care-act","tag-bluecross-blueshield-of-vermont","tag-health","tag-health-care","tag-healthcare","tag-trending-stories","tag-uvm-health-network"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/413315","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=413315"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/413315\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/413316"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=413315"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=413315"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=413315"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}