Healthcare DIVE May 15, 2018
Dive Brief:
- A new Commonwealth Fund report found OneCare Vermont’s all-payer accountable care organization (ACO) model is finding success by pushing the state’s three largest payers — Medicare, Medicaid and Blue Cross and Blue Shield of Vermont — to speed up the move from fee-for-service to risk-based contracting.
- Early results for the ACO show high-risk Medicaid beneficiaries in the program are using primary care, behavioral health and pharmacy benefits more when compared to other beneficiaries. The percentage of beneficiaries with early to late-stage disease who didn’t have a primary care visit fell from 4% to 2%. Emergency department visits and hospitalizations also dropped during the first nine months of the contract.
- Meanwhile, the federal government approved Maryland’s...