ABOUT

OneCare Vermont

OneCare Vermont is a provider-led Accountable Care Organization working to improve the health of Vermonters and lower health care costs. OneCare partners with health insurance companies, hospitals, independent medical practices, and community collaborators to offer programs that pay for positive outcomes and healthcare 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.

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

An Accountable Care Organization (ACO) is…

… an organization that is committed to: