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Vermont’s ‘all-payer’ pilot expands fast


FierceHealthcare reports:

“Nine hospitals in Vermont have signed on to participate next year in the state’s all-payer pilot.

“OneCare Vermont, the Accountable Care Organization that is heading the effort, estimated that 120,000 Vermont residents will be covered under the program in its second year …compared with 30,000 in year one.

“In all-payer models, providers are reimbursed based on patient outcomes, not on how many procedures are performed. ”

“OneCare announced that a variety of providers would be joining the model for 2018 in addition to the hospitals, according to an article from Vermont Business Magazine. The all-payer program will also include one hospital in New Hampshire, two federally qualified health centers and 19 skilled nursing facilities. ”

“Twenty-four independent physician practices and 30 independent specialty practices have signed on as well, the magazine reports. ”

To read the Vermont Business Magazine article, please hit this link.

To read the FierceHealthcare article, please hit this link.





Feds give preliminary OK to Vt. ‘all-payer’ plan


The Vermont State House, in Montpelier, the nation’s smallest state capital.

VTDigger reports that the federal government and Vermont have drafted a preliminary agreement to implement an “all-payer” healthcare payment system.

Under the model, payments to physicians from commercial insurers, Medicare and Medicaid would be based on monthly fees instead of  fee-for-service. Physicians would operate under an Accountable Care Organization — either OneCare Vermont or Vermont Care Organization — which would accept the payments. The ACO would then pay physicians based on quality of care.

The deal would make Vermont the first state to implement an all-payer system for all providers. Maryland now has the only U.S. all-payer system, but  just for hospital services.

The Vermont model aims to keep certain costs paid by Medicare, Medicaid and commercial insurance from growing more than 3.5 percent a year for five years,  starting in 2018.

The state aims to have about 30 percent of primary-care providers under the model by Jan. 1, 2018, with 80 percent  over a five-year period. If OneCare ACO decides to join the all-payer model, the state would reach the initial 30 percent goal.

The Green Mountain Care Board would regulate the ACO. Gov. Peter Shumlin said the all-payer model could save Vermont about $10 billion over  10 years.

To read the VTDigger story, please hit this link.

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