Under the state’s all-payer model, which was implemented by the organization OneCare Vermont, funds from Medicare, Medicaid and commercial insurers pay for services on a per-patient basis instead of fee-for-service.
The initial five-year plan will end in 2022.
The organization has consistently fallen short of its savings and participation targets, with CMS sending a warning letter to the state in September of last year, calling for a reboot of the model.
“I’m very frustrated with the pace of change,” chief healthcare regulator Kevin Mullin told VTDigger.
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