Our Work

OneCare’s work provides a common approach to serve all participating providers. OneCare facilitates improved provider network performance on cost and quality.

OneCare’s Core Capabilities

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.

Core Capability #1:

Network Performance Management

There are over 5,000 participating health care providers who make up OneCare’s network of providers. Through network performance management, OneCare establishes value-based care contracts with insurance payers (Medicaid, Medicare, and commercial insurers) on behalf of participating providers and supports success under those contracts through primary prevention efforts, care coordination infrastructure, and quality improvement metrics.

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.

Core Capability #2:

Data and Analytics

OneCare brings data together from different parts of health care—health care services, insurance claims, medical records, pharmacies, and hospital visits—and analyzes the data to measure health care cost, quality, and utilization. Providers who participate in OneCare benefit from OneCare’s data about not just their practice, but also their region, the state, and how they compare. Insights gleaned from these data help providers identify which Vermonters need outreach and which areas of care delivery to improve.

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.

Core Capability #3:

Payment Reform

OneCare pays fixed monthly amounts to providers to care for their patients—helping shift away from the fee-for service model that rewards for more care, to focusing on delivering the best care through a value-based model. When providers are reimbursed for value instead of volume, over time, they can change the way they deliver health care and invest in activities that are designed to lead to better health outcomes—primary care, health prevention, early identification of disease, and the right treatment at the right time.