UVM Health, Vermont’s largest health care provider, needs to reduce expenses by at least 300 million dollars over the next three years. That's the recommendation an independent liaison team sent to the hospital network and state regulators in May.  This comes on top of major revenue losses due to Medicaid changes.  This past month, 76 jobs were permanently eliminated earlier this month at UVM Health as part of an effort to reduce costs. Employee unions are concerned about providing adequate care and more reductions are likely.  Dr. Stephen Leffler, CEO of UVM Health and the president and COO of UVM Medical Center, joined Vermont Edition to talk about those job cuts, price increases and more. We also talked with the chair of the Green Mountain Care Board Owen Foster, who oversees the regulation of hospital budgets and health insurance premiums.