About OneCare Vermont

OneCare Vermont Accountable Care Organization 501(c)(3) 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.

How OneCare Helps Vermonters

Fred’s Story: A Case Study of Care Coordination

OneCare works to improve the health of Vermonters.

What does OneCare do?

For a printable version of what OneCare does, click here to download our ACO 101 informational handout. (PDF).

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

You, your doctor, and your insurance company work together to ensure you receive the health care you need. Your health benefits and coverage stay the same, and OneCare does not limit health care providers or number of visits.

3. Works to Stabilize Health Care Costs

Health care costs are too high. Vermont is leading an effort to change the way health care is paid for or incentivized: value over volume. OneCare works with insurance companies to reward providers for wellness, not illness. Instead of paying for each test and procedure, OneCare pays doctors a flat amount to care for patients. Over time, these changes should lower health care costs for Vermont.

4. Uses Data to Improve Health

OneCare gives doctors data, resources, and tools to improve patient health. By sharing information and working together, providers can do even more to give the best care to Vermonters.

OneCare’s Core Business Areas

Illustration - OneCare Core Business Area - the Statewide Care Model - showing a doctor taking care of a male patient checking his heart beat with a stethoscope. Next to the patient is a window showing Vermonters in healthy communities engaging in activities promoting healthier lifestyles.

Statewide Care Model

OneCare’s statewide care model is rooted in the belief that community-based health prevention and primary care are the foundation of Vermont’s health care system. The model works across the spectrum of health: integrating environmental, physical, mental, and social services. This is the basis for a robust care model that supports Vermonters in every phase of health.

Illustration - OneCare Core Business Area - Data Analytics. Two data analysts on the left are looking at a large whiteboard covered in infographics and statistics. Next to them is a woman sitting in front of a computer generating detailed analytics.

Data Analytics

OneCare measures health care cost, quality, and utilization to help providers who participate in OneCare identify which Vermonters may need outreach and which areas of care delivery to improve. These providers can see this data provided by OneCare and use it to implement strategies to improve the health of the Vermonters in their care.


Illustration - OneCare Core Business Area - Payment Reform. An accountant is looking at her computer and working with a doctor who is standing in front of a large clipboard with quality check marks on it. On the ground behind them are symbols representing money and payment.

Payment Reform

OneCare contracts with health insurers to move away from the current model that financially rewards providers for ordering more tests and services, to a model that rewards providers for the of quality of care they deliver. By working with OneCare, providers and insurance companies choose to move from volume to value, lowering costs while delivering better health care.

Overall, how will Vermonters benefit from OneCare?

A very diverse group of people of varying ages, genders, and backgrounds

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.

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.

A graphic showing a family, to represent the concept of enhancing the patient experience in an accountable care organization

Enhancing the Patient Experience

A graphic showing a dollar sign in front of a financial chart, to represent the concept of controlling health care costs in an accountable care organization

Stabilizing Health Care Costs

A graphic showing a healthy heart beat, to represent the concept of healthier Vermonters in an accountable care organization

Improving the Health of Vermonters

A graphic showing a simplified group of doctors and health care providers, to represent the concept of supporting health care providers in an accountable care organization

Supporting Health Care Providers

The 2021 OneCare Community

Vermonters cumulatively covered by:
Medicaid  |  Medicare  |  Commercial  |  Self-Insured


Primary Care Practices

Specialty Care Practices

Federally Qualified Health Centers

Individual Providers

Skilled Nursing Facilities

Home Health Agencies

Designated Agencies for Mental Health & Substance Use

Area Agencies on Aging

Regional Housing Authorities (SASH)

Our Mission

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. 

A visual map of the state of Vermont segmented into its counties, showing the location of participating hospitals as well as the two founding hospitals - University of Vermont Medical Center in Burlington, Vermont and Dartmouth-Hitchcock in Lebanon, New Hampshire.

OneCare’s Dedication To Transparency

OneCare Vermont is committed to make information about the work we do easily available to everyone in a clear, reliable, and easy to understand manner. Learn more on our transparency page.

OneCare has been recognized by the Internal Revenue Service (IRS) as a 501(c)(3) organization operated for non-profit purposes. In October 2020, OneCare applied to the IRS for 501(c)(3) tax status to more accurately reflect our commitment to transparency and value based reform efforts. On April 22, 2021, OneCare received notification that it has been recognized by the Federal Government as a 501(c)(3) organization for its commitment to supporting Vermont’s health care delivery and payment reform efforts.

Learn more about the value of OneCare Vermont.

Download the Summary of Vermont’s All-Payer ACO Model and OneCare (PDF).