About OneCare Vermont
OneCare Vermont Accountable Care Organization, LLC is a joint venture established by The University of Vermont Medical Center Inc. and Dartmouth-Hitchcock Medical Center
OneCare is an accountable care organization, led by health care providers.
Hospitals, doctors, health partners, social service partners, and other providers collaborate together for better health outcomes. OneCare partners with these providers, and then providers care for patients directly. Providers choose to work in independent practices or in hospitals, and those organizations choose to work with OneCare. By being part of OneCare, providers can:
How Does OneCare Help Vermonters?
Fred’s Story: A Case Study of Care Coordination
OneCare works to improve the health of Vermonters.
By being part of OneCare, providers can:
- Create a consistent patient experience through high-quality care across settings
- Invest in population health
- See how health outcomes are changing in their community
- Work together to be accountable for cost and quality of care
- Get incentives for better health outcomes
- Benefit from stable payments to care for patients, especially during uncertain times
- Receive health education
- Share data, resources, and best practices
- Reduce administrative burden
Read about OneCare investments in primary care.
See the current list of participants (doctors, hospitals, etc.)
1. Improves Health Care for Vermonters
Health care providers in OneCare coordinate across organizations and share resources and data. They focus on connecting patients to primary care, coordinating care for patients, and managing chronic illness. The goal is to help Vermonters become healthier — not just care for them when they are sick.
2. Supports Patient Health Care Choices
3. Works to Stabilize Health Care Costs
4. Uses Data to Improve Health
Overall, how will Vermonters benefit from OneCare?
OneCare helps identify Vermonters whose health may be at risk. Providers can reach out to people who could benefit from care coordination. Providers work together to help patients find resources and services that support their health goals.
Here’s another real example of how this works.
- Tom is a Vermonter with complex, chronic medical needs. Tom was making multiple trips to the emergency department for health needs that could have been managed through coordinated care.
- OneCare data analysis identified Tom as a high risk individual and shared this information with his health care providers. They asked Tom if he would like some additional support to help him manage his care. Tom agreed, and now his care coordination team includes a primary care doctor, a cardiologist, a counselor, and a social worker.
- The team reached out to Tom to set health goals and create a plan to help meet his needs.
- Care coordination makes sure all Tom’s providers are talking to each other and looking at many things that impact Tom’s health like housing, transportation, and access to healthy food. This cuts down on duplication of expensive tests and connects Tom with important services in his community.
- Tom’s care team used OneCare’s nationally recognized care coordination model. OneCare provides training for care teams throughout the state and tools to help providers talk to each other about Tom’s health goals.
*Name changed to protect privacy.
Tom’s Results after One Year of Care Coordination
Tom’s visits to emergency department visits decreased from six to zero.
Tom saw his doctor more. Primary care physician visits increased from zero to five.
Health care costs for Tom significantly decreased, by 60%, from $63K to $25K
How will you personally be affected by OneCare?
1. Connection with Your Doctor
OneCare works with your provider to help you stay healthy, avoid trips to the emergency room, and in some cases, supports your health goals with a care coordination team. Your doctor also focuses on wellness and check-ups to improve your health and to help prevent you from becoming ill.
2. Health in Your Community
Our prevention programs, such as RiseVT, partner with your community to make the healthy choice the easy choice, by working on issues like affordable housing, walkable towns, and access to healthy food.
The Quadruple Aim
An accountable care organization strives to make improvements in these four areas in order to achieve high value health care delivery.
Enhancing the Patient Experience
Stabilizing Health Care Costs
Improving the Health of Vermonters
Supporting Health Care Providers
The 2020 OneCare Community
Vermonters cumulatively covered by:
Medicaid | Medicare | Commercial | Self-Insured
Primary Care Practices
Specialty Care Practices
Federally Qualified Health Centers
Skilled Nursing Facilities
Home Health Agencies
Designated Agencies for Mental Health & Substance Use
Area Agencies on Aging
Regional Housing Authorities (SASH)
OneCare Vermont is a provider-led Accountable Care Organization working to improve the health of Vermonters and lower health care costs through Vermont’s All Payer ACO Model. Click here to learn more about Vermont’s All Payer ACO Model. OneCare partners with health insurance companies, hospitals, independent medical practices, and community collaborators to offer programs that pay for positive outcomes and health care activities. OneCare gives doctors and other providers access to data, resources, and tools to improve patient health. Health care providers participating in OneCare pool resources and expertise to help Vermonters become healthier and stay healthier, and focus on improving access to primary care, reducing deaths from suicide and drug overdose, and managing chronic illnesses. By sharing information and working together, providers can do even more to deliver the best care to patients.
As a provider-led organization, OneCare is not eligible for non-profit status since Vermont law does not allow non-profits to have more than 49% of its Board financially interested. In addition, Accountable Care Organization (ACO) regulations require that 75% of its Board includes provider representatives and providers who can receive savings and funding from the ACO. To comply with Vermont law and ACO regulations, OneCare is a limited liability corporation (LLC).
Although OneCare is an LLC, it is not operated to make profits. OneCare is provider-led and operates in alignment with the non-profit missions of its founders and the many providers who participate. In addition, OneCare budgets to break even. Surpluses are either distributed to network providers who have met the standards for delivering high quality care or are added to reserves required by regulators.
Learn more about the value of OneCare Vermont.
OneCare Vermont, as a statewide population health organization, will enhance the effectiveness of patient- and family-centered care for all Vermonters.
We are dedicated to optimizing the delivery of care in order to improve outcomes and patient experience in support of a sustainable health care system under a predictable rate of growth.
OneCare is committed to diversity, equity, and inclusion.
OneCare aims to improve the health and wellbeing of all Vermonters by connecting providers and communities across Vermont. OneCare is committed to diversity, equity, and inclusion because we serve Vermonters and health care providers from all backgrounds throughout our state.
Health access, health equity, and social contributors to health are key aspects of the health care system in Vermont. We are driven to examine our organization’s role in realizing health equity as part of healthcare reform and we are committed to listening, to learning, and to standing together against racism.