The Story of Vermont's Accountable Care Organization

OneCare is an accountable care organization (ACO) working with Medicare, Vermont Medicaid, Commercial, and Self-Funded insurance programs to improve the health of Vermonters. It is comprised of an extensive network of primary and specialty care physician members, hospitals, post-acute care facilities and other healthcare stakeholders all agreeing to focus on improved health, higher quality, lower cost increases and greater coordination of care for all of our Vermonters.

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).