Becker's Healthcare September 21, 2020
CMS sent a warning notice to Vermont last week calling for a reboot of its all-payer model, which hasn’t met its participation or savings goals, according to the VT Digger.
Under Vermont’s all-payer model, funds from Medicare, Medicaid and commercial insurers pay for services on a per-patient basis instead of fee-for-service. CMS found that for 2018 and 2019, the model was far from reaching its goals. More than half a million residents are supposed to be in the program in two more years, but the program is only 30 percent to goal with 160,000 participants.
The state’s all-payer model also hasn’t significantly increased primary care use or reduced spending increases,...
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Topics: CMS, Govt Agencies, Insurance, Medicaid, Medicare, Patient / Consumer, Payer, Payment Models, Provider, States