Vermont ACO model ties payer and provider payment to quality of care
Healthcare Finance News February 7, 2024
The state has seen some success in overhauling its provider payment structure in a push to advance value-based care.
Nestled between New Hampshire and upstate New York, Vermont is a quiet, mostly rural state.
But it’s the site of a federal test of an alternative payment model in which the most significant payers from throughout the state – Medicare, Medicaid, and commercial healthcare payers – incentivize value and quality, with a focus on health outcomes, under an ACO model that has seen some success since its 2017 implementation.
The Vermont All-Payer Accountable Care Organization (ACO) Model, spearheaded by the federal Centers for Medicare and Medicaid Services, is a value-based care initiative that ties provider payment to the quality of...