2022 ACO Oversight

Clover Health Partners, LLC FY 2022 Budget 

OneCare Vermont FY 2022 ACO Budget 

FY2022 Budget Order Monitoring and Reporting

• FY22 Benchmarking Report (10/31/22) 
• FY22 Reporting Manual (5/27/2022)
• FY2022 ACO Budget Order (2/17/2022)
  • FY22 Budget Order Amendment 1 (7/14/2022)
• Attribution Reports: 
  • FY22 Q1 OneCare Vermont Attribution Report (4/28/2022)
  • FY22 Q2 OneCare Vermont Attribution Report (7/27/2022) 
• CPR Report (7/27/2022) 
• Fixed Prospective Payment Target and Strategy Report (7/27/22)
• Complaint and Grievance Report (7/27/22) 

Revised Budget Submission and Presentation

• Narrative Responses Conditions 9d 9g and 9j Submitted 3-30-2022
• Redacted Revised Budget Financial Workbook FY22 Submitted 3-30-2022
• Redacted Revised Budget Budget Workbook FY22 Submitted 3-30-2022
• Revised Budget Presentations:
  • OneCare Vermont ACO Revised FY22 Budget - GMCB Staff Intro (5/4/2022)
  • OneCare Vermont FY22 Revised Budget Presentation (5/4/2022)
  • ACO Oversight FY2022 OneCare Vermont Revised Budget - GMCB Staff Analysis Presentation (5/11/2022)

GMCB Staff Analysis and Additional Information

• Final Staff Recommendations (12/22/2021)
• Staff Presentations:
  • ACO Oversight FY 2022 Budget and Certification - Staff Analysis and Preliminary Recommendations (12/08/2021)
  • FY2022 Budget and Certification OneCare Vermont - Updated Staff Analysis and Recommendations (12/15/2021)
  • FY22 Budget and Certification OneCare Vermont - Final Staff Recommendation Presentation (12/22/2021)
• Damore Health Advisors Memo (12/08/2021)
• DVHA ACO Funding Support Summary (provided by DVHA, 11/19/2021)
• Redacted OCV Confidentiality Cover Memo FY22 Budget (12/20/2021)
• OCV Response Total Quality Accountability Table Cover Memo (12/14/2021)
  • OCV FY22 Budget Quality Accountability Table (12/14/2021)

Round Two Questions to OneCare Vermont (11/19/2021)

• GMCB Questions
• HCA Questions
• OneCare Vermont Responses (12/01/2021)

OneCare Vermont FY22 Budget Hearing (11/10/2021)

• GMCB Staff Introduction Presentation
• OneCare Vermont 2022 Budget Presentation
• Hearing Transcript

Round One Questions to OneCare Vermont (10/22/2021)

• GMCB Questions
• HCA Questions
• OneCare Vermont Responses and Attachments (11/05/2021)

Written Public Comment Received

• Dr. David Schwartz, Vermont Gastroenterology
• Julie Wasserman
• OneCare Vermont
• Vermont Developmental Disabilities Council 
• Ellen Schwartz
• Office of the Health Care Advocate
• Patrick Flood
• Stuart May, Lamoille Health Partners
• Jeff Tieman, VAHHS
• Stephen LeBlanc, Dartmouth-Hitchcock 
• Julie Wasserman
• Thomas Dee, Southwestern Vermont Health Care
• Dr. John Saroyan, Bayada Home Health Care
• Dan Bennett, Gifford Medical Center
• Dr. Joseph Perras, Mount Ascutney Hospital and Health Center
• G. Richard Dundas
• Ethan Parke
• Claudio Fort, Rutland Regional Medical Center
• Ruby Dale-Brown
• Ruth Gaillard
• Jonathan Ryan
• Stephen North
• Mark Lorenzini
• Barbara Felitti
• Robert Hoffman
• Mary Alice Bisbee
• Walter Carpenter
• Lee Russ
• Dr. John Brumsted, University of Vermont Health Network
• Dr. Toby Sadkin, Primary Care Health Partners
• Michael Costa, Northern Counties Health Care
• Michael Gardner, Community Health
• Brian Harwood
• Shawn Tester, Northeastern Vermont Regional Hospital
• John Sayles, Vermont Foodbank
• Steven Gordon, Brattleboro Memorial Hospital

FY 2022 ACO Budget Materials

OneCare FY2022 Budget Submission Documents - Submitted 10/1/2021

Budget Submission Documents in PDF and Excel:

• OCV FY22 Budget Cover Letter (10/1/2021)
• OCV FY22 CEO and Chair Oaths (10/1/2021)
• OCV FY22 ACO Budget Narrative (10/1/2021)
• OCV FY22 ACO Budget Workbook (Excel) (10/1/2021)
• OCV FY22 ACO Financial Workbook (Excel) (10/24/2021, corrected)
• OCV FY22 Section 2 Attachment A - 2022 Network Agreements (10/1/2021)
• OCV FY22 Section 3 Appendix 3.1 Scale Target Initiatives with Appendices A & B (10/1/2021)
• OCV FY22 Appendices 2.1 and 2.2 Provider Lists (10/15/2021)

FY 2022 ACO Budget Guidance (6/25/21)

• FY 2022 ACO Budget Guidance Financial Workbook (6/25/21)
• FY 2022 ACO Budget Guidance Appendices (6/25/21)

The following public comments were received during the GMCB's public comment period specifically related to ACO budget guidance. 

• Vicki Ward, MSN (6/16/21)
• Ethan Parke (6/15/21)
• Robert Kaplan (6/14/21)
• Ellen Oxfeld (6/13/21)
• Caleb Abetti (6/11/21)

FY 2022 Budget Guidance for Medicare-Only Non-Certified ACOs

• FY 2022 Medicare-Only ACO Budget Guidance Appendix 

FY 2022 Certification Eligibility Verification

Memo: 2022 Certification Eligibility Verification for OneCare Vermont

GMCB Memo RE FY22 ACO Certification Eligibility Verification (9/29/2021)

• OneCare Response to Certification Memo (10/14/2021)
• OneCare Vermont Operating Agreement (10/1/2021)
• OneCare Board of Managers Roster (10/20/2021)

Memo RE OneCare Vermont 2022 ACO Certification (8/30/2021)

• FY 2022 ACO Certification Eligibility Verification Form (8/30/2021)
• Appendices (8/30/2021)
• Attachment A - FY 2022 Certification Eligibility Review Documents (8/30/2021)
• Attachment B - FY 2022 Certification on Oath of Affirmation (8/30/2021)

FY 2022 Certification Eligibility Verification Form for OneCare Vermont Accountable Care Organization, LLC (6/25/21)

• FY 2022 ACO Certification Attachment A - Certification Eligibility Review Documents (6/21/21)
• FY 2022 ACO Certification Attachment B - Verification on Oath or Affirmation (6/21/21)