UVM Health Network becomes the sole parent organization of OneCare Vermont



Colchester, Vermont – Dartmouth-Hitchcock Health (D-HH), OneCare Vermont and the University of Vermont Health Network (UVMHN) today announced a governance change that will make UVMHN the sole parent organization for the work of OneCare in the future.

OneCare, a statewide responsible care organization (ACO) based in Vermont, will remain its own legal entity and maintain a governance board that includes managers from across the state who represent the entire continuum of care. care and consumers. OneCare will continue its groundbreaking work to improve the health of Vermonters, aligning with its designation last May as a non-profit organization by the IRS. The designation was a strong endorsement of the value of OneCare’s vendor-focused work and more accurately reflects the way OneCare does business – a mission-driven organization focused on improving health outcomes and reducing spending on health. health for Vermonters, accountable to its members and the people served and governed with strategic leadership and transparency.

The change in governance will not impact statewide vendor membership in OneCare. D-HH will continue to participate fully in OneCare programs as a Provider Member and serve on the OneCare Board of Directors, demonstrating its continued commitment to value-based care in Vermont. Steve LeBlanc, director of strategy for D-HH, said D-HH’s commitment to healthcare reform in Vermont remains stronger than ever. “Dartmouth-Hitchcock Health is committed to staying in OneCare and improving the health of the people of Vermont through prevention and the provision of high quality, cost-effective care. “

The University of Vermont Medical Center and D-HH teamed up to form OneCare Vermont in 2012 and provided the initial start-up investments for the organization. According to John R. Brumsted, MD, president and CEO of UVMHN, UVMHN has the infrastructure to support and maintain ACO. D-HH has its own separate ACO infrastructure for the value-based agreements it is engaged in in New Hampshire. As a parent and subsidiary organization, UVMHN and OneCare will continue to align processes and share resources.

Dr Brumsted described the change in governance as “part of a thoughtful, multi-year effort to better focus OneCare on its core capabilities and achieve efficiencies where possible”. Brumsted also noted that OneCare has already completed its first mission. “In 2012, we established OneCare as a critical mechanism to pursue value-based contracts that enable providers to provide better quality care at lower cost. We have a solid foundation to continue to deliver value-based care with our partners at the community, state and federal levels. “

OneCare has 4,840 members serving all areas of Vermont, including primary and specialty care physicians, hospitals, home health agencies and designated mental health agencies who work together across organizational lines. OneCare is committed on behalf of its members to receiving “value-based payments,” which reward better and lower-cost care, a strategy that gives providers the power and flexibility to focus so much on sustaining the health of patients than their treatment when they are sick. OneCare delivers value through network performance management, data and analytics, and payment reform.

“Healthcare is evolving, and so is OneCare,” said Vicki Loner, IA, CEO of OneCare. “As the federal government continues to deepen its commitment to value-based care, OneCare will continue to partner with providers who are ready and willing to make this change. “

The Centers for Medicare and Medicaid Services (CMS) recently released a positive assessment and summary of findings from the first two years of APM performance (2018 and 2019). “This is the first fully informed and research-based analysis of our work and it shows that our progress has been promising,” said Loner. To date, OneCare has entered into value-based contracts with the Vermont Medicaid program, the Medicare program (through the All State Payers Model, or APM), and two commercial insurers. These arrangements have produced or maintained successes for Vermonters, including:
• Vermont continues to be the lowest cost state in the country for health insurance.
• Since the implementation of fixed-forward payments in the Medicaid program, Vermont’s Medicaid budget has grown by an average of 1.45%, compared to an annual average of 5.23% over the previous five years.
• The MPA achieved statistically significant reductions in gross Medicare spending at the ACO and state level, as well as reductions in net Medicare spending at the state level.
• There were statistically significant declines in acute care stays (at the ACO and state levels) and 30-day readmissions at the state level.

OneCare Vermont has evolved since its inception and finalized a strategic plan in June 2021 to anchor the organization where it is today and where it is headed. “Through the strategic planning process, the board took a close look at how OneCare can bring stability to healthcare reform and found that a single parent organization gives OneCare the most stability. and creates efficiencies, ”said Tom Dee, President and CEO, Southwestern Vermont Healthcare. “Because OneCare is a responsible healthcare organization, it has the structure we need to improve quality in all hospitals and work together to achieve our common goal: better health for the people of Vermont at a more reasonable cost. . “

OneCare’s board of directors voted unanimously to accept this change in governance. Michael Costa, CEO of Northern Counties Health Care and Director of the Board of Directors of OneCare, highlighted OneCare’s important role in healthcare reform in Vermont. “OneCare is the primary mechanism for bringing organizations together to engage in healthcare innovation,” said Costa. “Improving the health and well-being of Vermonters and Vermont communities will continue to be the primary goal of the OneCare Network. Our network, made up of organizations that care for Vermonters every day, will continue to work collaboratively to reform and improve Vermont’s healthcare system.

About OneCare Vermont
OneCare Vermont partners with healthcare providers to transform the healthcare system into one that is driven by health goals and promoting better outcomes for all. By providing healthcare providers with actionable data and analytics, paying for healthcare value, and managing ACO network performance, OneCare supports participating providers in their work to deliver excellent healthcare to people. Vermont residents. Through this partnership, OneCare is moving Vermont towards a reliable and equitable healthcare system where patients and providers work together to achieve optimal health and an exceptional care experience. Learn more at onecarevt.org.

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About the University of Vermont Health Network
The University of Vermont Health Network is an integrated system serving residents of Vermont and upstate New York with a common mission: By working together, we improve people’s lives. The partners are:
• The University of Vermont Medical Center
• The medical group of the University of Vermont health network
• University of Vermont Health Network — Alice Hyde Medical Center
• University of Vermont Health Network — Central Vermont Medical Center
• University of Vermont Health Network — Elizabethtown Community Hospital
• University of Vermont Health Network — Porter Medical Center
• University of Vermont Health Network — Home Health and Palliative Care
Our 4,000 healthcare professionals are committed to providing high-quality, cost-effective care as close to home as possible. Strengthened by our academic bond with the University of Vermont, each of our affiliates remains committed to their local community by providing personal and compassionate care shaped by the latest medical advancements and delivered by highly trained experts.

About Dartmouth-Hitchcock Health
DARTMOUTH-HITCHCOCK HEALTH (D-HH), New Hampshire’s only university health care system and the state’s largest private employer, serves a population of 1.9 million in northern New England. D-HH provides access to more than 2,000 providers in nearly every area of ​​medicine, providing care at its flagship hospital, Dartmouth-Hitchcock Medical Center (DHMC) in Lebanon, New Hampshire. DHMC was re-named New Hampshire’s No.1 Hospital in 2020 by US News & World Report, and recognized for its high performance in 9 clinical specialties and procedures. Dartmouth-Hitchcock Health includes the Norris Cotton Cancer Center, one of 51 NCI-designated comprehensive cancer centers nationwide; Dartmouth-Hitchcock Children’s Hospital, the state’s only children’s hospital; member hospitals in Lebanon, Keene and New London, NH, and Windsor, VT, and a guest nurse and hospice for Vermont and New Hampshire; and 24 Dartmouth-Hitchcock clinics that provide outpatient services in New Hampshire and Vermont. The D-HH System trains nearly 400 residents and fellows each year and performs world-class research, in partnership with the Geisel School of Medicine in Dartmouth and the White River Junction VA Medical Center in White River Junction, VT.

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