2020 Shared Savings Results
2020 Results for Shared Savings by Payer Program
Medicare
Participating providers earned a total of $16.3 million in Medicare shared savings from collaborative work to improve beneficiaries’ outcomes and overall health of the Medicare population.
Of the $16.3 million, OneCare paid over $8.4 million of advanced shared savings throughout 2020 to fund the Patient Centered Medical Home, Community Health Team, and SASH population health management payments.
The remaining $7.9 million will be distributed directly to risk-bearing providers that participate in OneCare’s Medicare program and reinvested in additional programs, services and initiatives to further improve health and reduce costs.
Medicaid
OneCare Vermont earned shared savings for the 2020 program year, $11.6 million of which was in a settlement payment to the OneCare Vermont ACO.
BlueCross BlueShield of Vermont
For 2020, BCBSVT paid OneCare a $125,000 settlement payment.
MVP QHP
For 2020, MVP paid OneCare a $1,063,182 settlement payment.
Combined Shared Savings and Losses for Performance Year 2020
| Medicare | ||
|---|---|---|
| Settlement Payment* | $16,313,471 | |
| % of TCOC | 4% | |
| Fixed Payment Performance | $0 | |
| Combined Result** | $16,313,471 | |
| Medicaid | ||
|---|---|---|
| Settlement Payment* | $11,621,236 | |
| % of TCOC | 3.6% | |
| Fixed Payment Performance | $43,738,036 | |
| Combined Result | $55,359,272 | |
| BlueCross BlueShield of Vermont QHP | ||
|---|---|---|
| Settlement Payment* | $50,000 | |
| % of TCOC | 0.04% | |
| Fixed Payment Performance | No fixed payment. | |
| Combined Result | $50,000 | |
| BlueCross BlueShield of Vermont Primary | ||
|---|---|---|
| Settlement Payment* | $75,000 | |
| % of TCOC | 0.04% | |
| Fixed Payment Performance | No fixed payment. | |
| Combined Result | $75,000 | |
| MVP QHP | ||
|---|---|---|
| Settlement Payment* | $1,063,182 | |
| % of TCOC | 2.3% | |
| Fixed Payment Performance | No fixed payment. | |
| Combined Result | $1,063,182 | |
* Settlement payment amounts incorporate any applicable risk corridor constraints and/or sharing factors per contract terms.
** OneCare was paid $8.4 million of advanced shared savings throughout 2020. These dollars supplied OneCare with the cash flow for the Patient Centered Medical Home, Community Health Team, and SASH population health management payments. 100% of Shared Savings were distributed to Initiative Participants and Preferred Providers.