VTDigger December 2, 2022

This commentary is by Paul L. Kendall of Braintree, a retired corporate and not-for-profit executive. He has been a director or trustee of several Vermont health care organizations and participated in the 2015-16 discussions leading to the designation of OneCare Vermont as Vermont’s only accountable care organization.

Those seeking to reform Vermont’s health care delivery system need to focus on correcting two errors in past reform efforts.

The first correction is recognizing that if an accountable care organization is controlled by a teaching hospital, it has an inherent conflict of interest in achieving the goal of lowering health care costs. Such is the case now with the relationship between OneCare Vermont and the University of Vermont Medical Center.

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