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Vermont's All-Payer Model

Vermont’s All-Payer Accountable Care Organization Model Agreement is a five-year (2018-2022) arrangement between Vermont and the federal government that allows Medicare to join Medicaid and commercial insurers to pay differently for health care. The goal of the APM is to shift payments from a fee-for-service system that rewards the delivery of high-volume high-cost services, to a payment system based on value, high quality care and good health outcomes at a lower cost. The APM Agreement is signed by the Governor, the Secretary of the Agency of Human Services (AHS), and the Chair of the Green Mountain Care Board (GMCB). These parties work together to implement the Agreement.

In 2022, Vermont and CMMI agreed to an extension of the APM Agreement for one year (2023) with an additional transition year at the option of the State (2024). 


To learn more about the All-Payer Model:

About Vermont's All-Payer Model

Reports and Federal Communications


Frequently Asked Questions