FY24 Medicare-Only ACOs Budget Review

Medicare-Only ACOs operating in Vermont are subject to the Board’s oversight of ACOs under 18 V.S.A. § 9382 and GMCB Rule 5.000. As a Medicare-Only ACO, these ACOs are not subject to the certification requirement but is subject to annual budget review and approval.

Medicare-Only updated financials

• FY24 Lore Health updated financials (4/01/2024)
• FY24 Vytalize 9 Health updated financials (4/01/2024)

Medicare-Only Budget Orders

• FY24 Vytalize Health 9 Budget Order Condition 5 Questions (10/1/2024)
• FY24 Vytalize Health 9 Budget Order (1/18/2024)
• FY24 Lore Health Budget Order Condition 5 Questions (5/09/2024)
• FY24 Lore Health Budget Order (1/29/2024)

Medicare-Only Budget Potential Vote

• FY24 Medicare-only Budget Potential Vote (12/06/2023)

Medicare-Only Staff Analysis and Recommendations

• FY24 Medicare-only budget staff presentation (11/20/2023)

Lore Health

• FY24 Lore Health Budget Narrative (10/02/2023)
• FY24 Lore Health Oath (10/02/2023)
• FY24 Budget Hearing: GMCB staff intro slides (11/01/2023)
• FY24 Budget Hearing: Budget Hearing Presentation (11/01/2023)
• FY24 Lore Health Budget Workbook (11/02/2023)

Vytalize Health 9

Vytalize Health 9 is a Medicare-Only ACO whose network is expanding into Vermont for FY24. The ACO had submitted a request that the Board waive portions of Rule 5.000 regarding oversight of their budget, however this request has been rescinded.

• FY24 Vytalize Health 9 Workbook (11/01/2023)
• FY24 Vytalize Health 9 Budget Narrative (11/13/2023)
• FY24 Vytalize Health 9: Budget Hearing Presentation (11/15/2023)
• FY24 Budget Hearing: GMCB staff intro slides (11/15/2023) 

Medicare-Only ACO Guidance

• FY24 Medicare-Only ACO Budget Guidance (6/28/2023)
• FY24 Medicare-Only ACO Budget Guidance Workbook Appendices (6/28/2023)