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CMS Releases Evaluation of Vermont All-Payer Model: Early Results are Promising

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The federal Centers for Medicare & Medicaid Services (CMS) released an evaluation and summary of findings of the first two performance years (2018 and 2019) of Vermont’s All-Payer Model (APM), finding promising results that indicate the APM and Vermont’s Accountable Care Organization, OneCare Vermont, are on the right track toward transforming the way health care is paid for and delivered. The evaluation of the first two years of the model was conducted by National Opinion Research Center at the University of Chicago (NORC), an independent research institution, and assesses the implementation and measures effects of the APM.

The five-year APM was launched on January 1, 2017 with the purpose of assessing whether an All-Payer Model to include Medicare, Medicaid, and commercial payers and implemented by a statewide Accountable Care Organization (ACO) can reduce health care spending while preserving or improving quality of care. OneCare Vermont is the statewide ACO and has worked to meet the goals outlined in the APM by aligning payments to providers with incentives that improve care and overall population health, especially for those with chronic or complex illness. The program also enhances coordination among providers, provides data to support best practices to make care more consistent, and invests in wellness and prevention through primary care.

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