Vermont Healthcare Regulators Approve OneCare’s Final Budget
The Green Mountain Care Board has given its approval for the last annual budget of OneCare Vermont, marking the end of an era for the accountable care organization at the heart of Vermont’s “all-payer” health care payment reform since 2018. OneCare declared that 2025 would be its final year of operation, coinciding with the anticipated conclusion of the “Vermont All-Payer ACO Model” by December 31, 2025.
Approval and Adjustments
The Green Mountain Care Board sanctioned an organizational budget of nearly $11.3 million, a reduction of almost $1.5 million from OneCare’s initial request. This reduction came after the nonprofit’s decision to shut down, prompting regulators to direct the reallocated funds towards independent healthcare providers participating in the organization’s population health management programs.
Changes and Challenges
The approved budget level-funded salary and benefit expenses from the previous year, eliminating the position of chief financial officer. Tom Borys, the interim chief executive officer, expressed understanding and acceptance of the changes, acknowledging the altered paradigm as OneCare transitions towards cessation of operations.
Future Plans and Uncertainties
Despite the impending closure, OneCare remains committed to fulfilling its obligations through 2025, aiming to support state providers and patients while managing costs effectively. The organization anticipates a seamless transition into the shutdown process in 2026, with the expectation of completing all necessary steps by October.
As Vermont navigates its involvement in the AHEAD program, a new federal reform model focusing on health equity, the future of healthcare funding and initiatives remains uncertain. The potential impact of changing administrations on healthcare programs raises questions about the sustainability of essential services for providers and patients.
With ongoing negotiations and preparations for participation in the AHEAD program, Vermont faces a pivotal decision in mid-January. Care board member Thom Walsh’s concerns about the program’s continuity underscore the importance of planning for potential disruptions in federal healthcare reforms.
In the midst of uncertainties and transitions, OneCare remains dedicated to maintaining quality care standards and provider connections through its regional care representative program. The program’s retention signifies a commitment to ending the era of the all-payer model on a positive note, emphasizing the importance of collaborative efforts in healthcare delivery.
Through regulatory adjustments and organizational realignments, Vermont’s healthcare landscape continues to evolve, shaping the future of care delivery and payment reform in the state. As stakeholders navigate these changes, collaboration and adaptability will be essential in ensuring the continuity of quality care for all Vermonters.
