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Accountable Care Organizations (OneCare Vermont)

What Is OneCare Vermont?

OneCare Vermont (OneCare) is a statewide Accountable Care Organization (ACO) working with Medicare (Next Generation Model), Vermont Medicaid, Commercial, and Self-Funded insurance programs to improve the health of Vermonters. OneCare comprises an extensive network of providers across the full continuum of care, including hospitals  primary and Specialty Care Physicians, Federally Qualified Health Centers, Designated Agencies for Mental Health and Substance Use, skilled nursing facilities, home health agencies, and Area Agencies on Aging.

OneCare coordinates the health care for more than 112,000 Vermonters across Medicare, Medicaid, Commercial, and Self-Funded health plans.

Frequently Asked Questions

ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients.

The goal of coordinated care is to ensure that patients get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors.

When an ACO succeeds both in delivering high-quality care and spending health care dollars more wisely, the ACO will share in the savings it achieves for the Medicare program.

An ACO is not a Medicare Advantage plan or an HMO plan.

Unlike HMOs, managed care, or some insurance plans, an ACO can’t tell you which health care providers to see and can’t change your Medicare benefits. Only people with Original Medicare can be assigned to an ACO. You can’t be assigned to an ACO if you have a Medicare Advantage Plan (Part C), like an HMO or a PPO.

You benefit because your doctors will be part of a better coordinated team.

You may have fewer medical forms to fill out which ask for the same information.

Your doctors will have a more complete picture of your health by coordinating your care with your other doctors.

Questions?

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