Welcome to the OneCare Vermont Media Center. Here you will find fast facts about OneCare Vermont for accurate reporting, images and graphics for utilization in your coverage, and recent media hits and releases.
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Fast Facts About OneCare
For accurate reporting, find answers to common questions:
About OneCare Vermont
OneCare is Vermont’s local, 501(c)(3) accountable care organization (ACO), partnering with health care providers to transform the state’s health care system. By managing network performance, giving health care providers actionable data and analytics, and providing payments in a structure that incentivizes quality of care and improved population health, OneCare supports participating organizations in their work to deliver excellent health care to Vermonters. Through this partnership, OneCare moves Vermont toward a trusted, equitable health care system where patients and providers work together to achieve optimal health and an exceptional care experience.
What is OneCare Vermont's connection to the state of Vermont's All-Payer Model?
Managed by the Vermont Agency of Human Services with the Green Mountain Care Board as the regulator, the All-Payer Model (APM) is a five-year (Jan 1, 2018-Dec 31, 2022) agreement between the governor’s office of Vermont and the federal government’s Centers for Medicare and Medicaid Services. The agreement allows Medicare—by waiving certain federal provisions to participate in alternative payment models–along with the Vermont Medicaid program and Vermont commercial insurers to pay for health care in a different way. OneCare Vermont contracts with providers, as well as the specific payer programs, to help achieve the goals of the All Payer Model Agreement. Currently OneCare Vermont is the only ACO operating in Vermont, though state law and the APM does not preclude more than one ACO to operate in the state if they meet certain provisions.
Why have I heard that OneCare Vermont is a for-profit, private company? Does this mean it is a company making money off of its efforts to transform healthcare?
While OneCare Vermont has always operated as a non-profit in that it budgets to break even each year, as a provider-informed Accountable Care Organization (ACO) it was required to follow federal ACO program rules which state that 75% of its board include provider representatives whose organizations can receive savings and funding from the ACO. This requirement makes OneCare ineligible for Vermont non-profit status because Vermont law does not allow non-profits to have more than 49% of its board to have a financial interest. However, 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.
This is tremendous news and validation that the federal government believes that OneCare meets the charitable purposes of a 501(c)(3) by lessening the government’s burden of healthcare through its partnership in the state of Vermont’s All Payer Model, and by the promotion of health in transition to value-based care, improved supports for primary care delivery, health care innovation, and primary prevention programs.
Why did OneCare Vermont miss the scale targets set in the All-Payer Model?
The scale targets were agreed upon between the State of Vermont and the federal Centers for Medicare and Medicaid Services (CMS) to encourage statewide expansion and participation in value-based healthcare programs. To help the state reach their targets, ACOs like OneCare Vermont are the vehicle that contribute to these scale targets by entering into value-based care contracts with the respective payer programs—Medicare, Medicaid and commercial payers like MVP Health Care and Blue Cross Blue Shield of Vermont. These programs reward providers when their patients receive healthcare that is high quality and within an agreed upon budget. There are two main reasons why the scale targets agreed upon by the State of Vermont and CMS have not been met: (1) they were ambitious to begin with and the scale denominator as currently specified holds Vermont accountable for payers and populations over which the State has no control.; (2) the magnitude of risk to join OneCare has historically been a deterrent for some of our small hospitals and independent providers. The State of Vermont is working with CMS to realign the denominator within the State’s sphere of influence and to develop strategies to increase participation.
Why use an accountable care organization (ACO) to reform healthcare?
Given the high cost of health care our nation is grappling with—coupled with poor health outcomes—many can agree there is a need to reform healthcare. Under the Affordable Care Act, ACOs are one type of an alternative payment model that can be used to reform the healthcare system and one that allows providers to work together under a shared quality and economic framework without running afoul of anti-trust law. OneCare is the entity that provides the necessary legal protections to the providers so that they come together in a unified way to be accountable for the care delivered to Vermonters.
Is supporting Medicare for All, Universal Primary Care, or a Single-Payer healthcare system in conflict with OneCare Vermont?
No. The work OneCare Vermont is doing to shift away from a fee-for-service model to a value-based model is work that needs to happen regardless of the federal or state structure of our healthcare system. In fact, Medicare for All, Universal Primary Care, and Single-Payer would benefit from a value-based system that provides fixed payments to care for a population rather than charging for every pill, test, or service.
Why is the All-Payer Model referred to as an "experiment"?
OneCare was the first true all-payer ACO—so this is why OneCare Vermont has often been thought of as synonymous with the APM and also referred to as an “experiment”—multiple ACOs now have all-payer value based payment arrangements with multiple payers. Additionally most other ACOs nationally—of which there are over four hundred—mostly contract with Medicare first, and many contract with commercial payers as well. OneCare is also unique because we contract with participating entities and do not employee any of the providers in our network, whereas most ACOs are employer-owned health systems. While the All-Payer Model started as an experiment, other states have since implemented aspects of the model. Now that OneCare is several years in since its founding, it is moving into a new phase of its organizational growth with a strategic planning process that will establish the organization’s focus and long-term position in Vermont’s healthcare reform landscape. With or without the APM in place, OneCare Vermont can continue doing its work to improve quality and reduce health care spending—as ACOs do across the nation—as long as there are a group of willing healthcare providers that want to participate.
Recent Media Releases
Find releases and op-eds recently submitted to local media
For Immediate Release Publication Date: March 16, 2022 Colchester, Vt. – The OneCare Vermont board of managers has elected Anya Rader Wallack, PhD to serve as chair and Tom...
Key takeaways from this announcement: Dartmouth Hitchock-Health (DH-H) and University of Vermont Health Network (UVMHN) founded OneCare in 2012, with UVMHN providing operational...
Colchester, VT – OneCare Vermont is pleased to announce that Dr. Carrie Wulfman, MD has been named the accountable care organization’s chief medical officer (CMO). Dr. Wulfman is...
Findings include a reduction in Medicare costs and in hospital readmissions suggesting cost saving and care coordination improvementsColchester, VT – The federal Centers for...
Recent Media Coverage
Coverage of OneCare Vermont by media outlets
- Northeast Kingdom resident keynote for 2022 Vermont Suicide Prevention Symposium
- Hometown Hero: Pam Parsons steers the NOTCH into the future of health
- Protecting the powerful and the wealthy - VTDigger
- Editorial: Regressive decision - Times Argus
- Report: Vermont early education system lacks coherence, leadership, vision - WCAX
Find Us On Social Media
Discover our social media channels, and the content, stories, and related news we frequently post
Health Care 101
Key background to help understand the work of OneCare Vermont
Nuts & Bolts of Health Care Transformation
In our pilot episode, Lawrence Miller of Five Vine Consulting explains Vermont’s All-Payer Model and why we would like to coordinate payments between Medicaid, Medicare, and Commercial payers as part of health care reform.
Kate Simmons from Bi-State Primary Care Association explains ACOs, and in particular shared savings model ACOs. Future episodes will look at other structures these organizations can take.
In this extended episode, Helen Labun and Georgia Maheras of Bi-State Primary Care Association provide an introduction to the topics covered in our “Payment Reform” series of episodes.
Glossary of Frequently Used Terms
Accountable Care Organization
Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to provide coordinated and high quality care to the Medicare beneficiaries they serve. OneCare is what is called an All-Payer Accountable Care Organization, so the model is extended to include Medicaid and commercial insurance beneficiaries, in addition to Medicare.
A payer is an organization/agency—like Medicaid, Medicare, or a company in the case of commercial insurers like BlueCross BlueShield or MVP—that pays for an administered medical service. A payer is responsible for processing patient eligibility, enrollment, claims, and payment.
A healthcare provider is a person or organization that provides a healthcare service to a patient. OneCare works with providers at hospitals, federally qualified health centers (FQHCs), primary care practices, specialty care practices, skilled nursing facilities (SNFs), home health agencies, designated agencies for mental health and substance use, area agencies on aging, regional housing authorities (SASH).
Brings significant health concerns into focus and addresses ways that resources can be allocated to overcome the problems that drive poor health conditions in the population. The strategies employed to achieve positive health outcomes are (1) utilizing data to identify trends in diseases, health care, and social determinants of health; (2) engaging non-traditional partnerships among different sectors of the community – public health, industry, academia, health care, local government entities, etc. Source
Social Determinants of Health:
The social determinants of health are the conditions in which people are born, grow, live, work and age as well as the complex, interrelated social structures and economic systems that shape these conditions. Social determinants of health include aspects of (1) the social environment (discrimination, income, education level); (2) the physical environment (place of residence, crowding conditions, built environment like buildings, transportation systems, recreation spaces); (3) health services (access to and quality of care, insurance status). Source
Media Contacts and Content Experts
Primary Media Contact
Director of Public Affairs
Amy is available to speak with reporters and connect you with any of our content experts for interviews. Contact Amy
Our content experts can provide the detail you need to report on our core business areas: Care Model, Data Analytics, and Payment Reform.
We can also connect you with our partners and members who can speak to how OneCare Vermont works in action to improve delivery of care and reduce health care spending.
Vicki Loner, RN, C, MHCDS
Chief Executive Officer
Expert on health care reform and OneCare Vermont’s role in helping the state reach its goals for the All-Payer Model, including the OneCare strategic implementation of our vision and its impact
Sara Barry, MPH
Chief Operating Officer
Expert on OneCare’s core business areas and the organization’s role in helping the state reach its goals for the All-Payer Model, including the OneCare strategic implementation of our vision and its impact
Tom Borys, MBA
Vice President of Finance
Expert on payment reform – changing the way Medicare, Medicaid, and private insurers pay for care from a fee-for-service model to a value-based model
Carrie Wulfman, MD
Chief Medical Officer
Experienced primary care physician offering insights and bench strength to help improve patient and clinician experience, optimize quality of care, and steward healthcare resources for Vermont’s population
A list of photos, logos, and more. If you need a higher resolution version of any of these items or have a special request, we are happy to accommodate you – please contact the public relations team.
For use in your coverage, here is a bank of photos that help to visually represent the work of OneCare Vermont. If there is a specific image you are looking for, please reach out to Amy Bodette with your requests. To download any of the items below, you can right click and “Save link as…” or directly click on any of the links below to download.
- Vicki Loner, OneCare Chief Executive Officer. [Bio]
- Sara Barry, OneCare Chief Operating Officer. [Bio]
- Carrie Wulfman, OneCare Chief Medical Officer. [Bio]
- Tom Borys, OneCare Chief Financial Officer. [Bio]
- Gregory Daniels, Chief Compliance Officer. [Bio]
Behind the Scenes at OneCare Vermont
- Katie Muir of OneCare’s Analytics Department working at a station at OneCare’s offices.
- An over-the-shoulder view of someone looking at one of OneCare’s customized reports on a laptop [mockup].
- Katie Muir of OneCare’s Analytics Department standing at her workstation at OneCare’s offices.
- OneCare Lobby: view 1 | view 2 | view 3
- Walking feet – showing people engaging in healthy community activities
- Two people purchasing items at a local Vermont farmer’s market.
- A young child learns how to cook healthfully
Innovation Fund: Psychiatric Urgent Care for Kids (PUCK)
- Group photo of United Counseling Service Staff at the PUCK Open House in January 2020
- Kheya Ganguly, assistant director of Youth and Family Services at UCS, welcomes officers of the Bennington Police Department to the PUCK Open House in January 2020
- Guests and UCS staff interact at PUCK Open House January 2020
Innovation Fund: Building Strong Families
The Building Strong Families (BSF) Clinic was one of the 2019 recipients of OneCare’s Innovation Fund, a program implemented during the early years of OneCare. To learn more about the BSF, read our initial and follow-up blog posts.
Core Business Area Illustrations
For use in your coverage, here are some graphics that represent our three core business areas. Click on each image to view the larger version available for download. A quick overview of the core business area is also available.
Network Performance Management
OneCare’s network performance management 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 while leveraging data and analytics and advanced payment models to deliver value to Vermonters.
Data and 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.
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.