Here’s what you should know.
1. In 2017, Vermont enrolled 30,000 Medicaid patients into OneCare Vermont, an ACO.
2. The state paid OneCare $93 million,in monthly payments, for those aforementioned beneficiaries.
3. If OneCare spends more than $93 million, the company will absorb the loss. If they spend under that figure, the state and company share the savings.
4. If the OneCare program is successful in achieving cost savings, it will expand to the state’s 160,000 remaining Medicaid beneficiaries.
5. Vermont is attempting to limit health spending increases to 3.5 percent per year from 2018 to 2022.This figure is 2.1 percent lower than national healthcare spending averages.
6. If the pilot program is unsuccessful, the state would consider scrapping the program.
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