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The Green Mountain Care Board is seeking public comment on a costly budget proposal that continues to reshape the way Vermonters pay for health and healthcare outcomes.

The University of Vermont's accountable care, OneCare Vermont, has proposed a budget of $903 million dollars, which must be approved by the Green Mountain Care Board. OneCare hopes to reduce healthcare spending by changing the way it pays enrolled providers, advancing them a per person per month payment rather than reimbursing them on a fee-for-service basis.

OneCare is at the center of a multi-year experiment called "the all-payer model," which is enabled by a unique agreement between the Agency of Human Services, the Green Mountain Care Board, and the Centers for Medicare and Medicaid Services. In Addition, OneCare must monitor the quality of care delivered by its providers and support them with enhanced care coordination of patients with significant health needs.

Some advocates are concerned by the heavy investment that the State is making in a private company - OneCareVermont - using public funds.

In an interview with VTDigger, Susan Aranoff, Senior Planner and Policy Analyst to the Vermont Developmental Disabilities Council said, "To date, the Vermont Department of Health Access has given delivery system reform funds only to OneCare, even though community-based organizations such as designated agencies are eligible to receive these funds as well."

The Green Mountain Care Board has extended their request for comments to Friday, December 14th, and will vote on OneCare's budget proposal on Monday, December 17th.

For more information read the article by VTDigger.

Side notes:

  • 26 different agencies, organizations, and consumers have commented on OneCare's Accountable-Care budget proposal thus far.