Under the value-based payment program, OneCare Vermont pays participating providers a set fee per patient. Should the patient’s care cost less than the fee, the provider keeps the difference; however, if it costs more, the provider is responsible for the difference.
As part of a multiyear plan, the program will extend to cover roughly 120,000 individuals, including patients with Medicare and private insurance. OneCare CEO Todd Moore told the publication the expansion is “a big transition step.”
OneCare comprises nine Vermont hospitals, one New Hampshire hospital, 24 independent physician practices, eight home health organizations, and six mental health and substance abuse programs, among other organizations, according to the report.
More articles on ACOs:
Eastside Health Alliance, Cigna launch ACO
Baylor Scott & White ACO adds 3rd commercial insurer to network: Cigna
How to thrive in a risk-based environment: 5 questions with BIDCO President and CEO Jeffrey Hulburt
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
