The All-Payer Accountable Care Organization Model: An Opportunity For Vermont And An Exemplar For The Nation

Health Affairs November 22, 2016
Ena Backus, Al Gobeille, Cornelius Hogan, Jessica Holmes, and Betty Rambur

The first of its kind in the nation, the all-payer accountable care organization (ACO) model allowsVermont the opportunity to create a transformative payment model that moves all payers (Medicare, Medicaid, and commercial) towards a prospective, value-based reimbursement system holding providers, operating through one or more ACOs, and the State of Vermont, accountable for population health outcomes. A joint state and federal initiative designed to transform how health care is paid for and delivered in Vermont, the model agreement is the culmination of nearly two years of discussion and negotiation between the Governor of Vermont, the US Department of Health and Human Services, the Vermont Agency of Human Services, the Centers for Medicare and Medicaid Services (CMS), and the Green Mountain...

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