Reports and Federal Communications

Federal Reports

For a summary of Vermont’s progress toward achieving the All-Payer Model Agreement targets, see Vermont's All-Payer Model Performance Summary Dashboard. For more detail on total cost of care, health outcomes and quality of care, and scale performance, see below.

All-Payer Total Cost of Care

• Vermont All-Payer ACO Model Total Cost of Care Annual Report, Performance Year 5 (January - December 2022)
• Vermont All-Payer ACO Model Total Cost of Care Annual Report, Performance Year 4 (January - December 2021) (3/30/2023)
• Vermont All-Payer ACO Model Total Cost of Care Annual Report, Performance Year 3 (January - December 2020) (4/18/2022)
• Vermont All-Payer ACO Model Total Cost of Care Annual Report, Performance Year 2 (January – December 2019) (4/8/2021)
• Vermont All-Payer ACO Model Total Cost of Care Annual Report Performance Year 1 (January - December 2018) (2/21/2020)

Medicare Total Cost of Care

• Vermont All-Payer ACO Model Medicare Total Cost of Care Annual Report, Performance Year 5 (2022) (10/30/2023)
• Vermont All-Payer ACO Model Medicare Total Cost of Care Annual Report, Performance Year 3 (January - December 2020) (4/29/2022)

Quality

• Vermont All-Payer ACO Model Annual Health Outcomes and Quality of Care Report, Performance Year 5 (2022) (6/25/2024)
• Vermont All-Payer ACO Model Annual Health Outcomes and Quality of Care Report, Performance Year 4 (2021) (10/30/2023)
• Vermont All-Payer ACO Model Annual Health Outcomes and Quality of Care Report, Performance Year 3 (2020) (3/31/2022)
• Vermont All-Payer ACO Model Annual Health Outcomes and Quality of Care Report, Performance Year 2 (2019) (3/29/2021)
  • This report was resubmitted with new data on 7/28/2021. 
• Vermont All-Payer ACO Model Annual Health Outcomes and Quality of Care Report Performance Year 1 (2018) (4/7/2020)

Scale

• Vermont All-Payer ACO Model Annual ACO Scale Targets and Alignment Report Performance Year 5 (2022) (10/30/2023)
• Vermont All-Payer ACO Model Annual ACO Scale Targets and Alignment Report Performance Year 4 (2021) (6/29/2022)
• Vermont All-Payer ACO Model Annual ACO Scale Targets and Alignment Report Performance Year 3 (2020) (6/30/2021)
• Vermont All-Payer ACO Model Annual ACO Scale Targets and Alignment Report Performance Year 2 (2019) (6/30/2020)
• Vermont All-Payer ACO Model Annual ACO Scale Targets and Alignment Report Performance Year 1 (2018) (6/28/2019)

Payer Differential 

• Vermont ACO Payer Differential Report (1/27/2021)
• Vermont ACO Payer Differential Slide Presentation by Mathematica (1/27/2021)

Other Federal Reports

• Collaboration with Public Health Report (6/30/2020)

Legislative Reports

• Preliminary Quality and Financial Performance per the All-Payer ACO Model Agreement (Submitted 11/1/2018)
• GMCB All-Payer ACO Model Update to Legislature (6/15/2017)
• Report on GMCB Progress in Meeting All-Payer ACO Model Implementation Benchmarks for 09/15/2018 - 12/15/2018
• Report on GMCB Progress in Meeting All-Payer ACO Model Implementation Benchmarks for 01/01/2018 - 06/15/2018
• Report on GMCB Progress in Meeting All-Payer ACO Model Implementation Benchmarks for 01/01/2017 - 06/15/2017
• Report on GMCB Progress in Meeting All-Payer ACO Model Implementation Benchmarks for 06/15/2017 - 09/15/2017
• Report on GMCB Progress in Meeting All-Payer ACO Model Implementation Benchmarks for 09/15/2017 - 12/15/2017

Federal Communications

All-Payer Model Extension Request

• Optional Performance Year 7 (2024) (Spring 2023)
  • Vermont Response to PY7 Extension Offer (5/26/2023)
  • CMMI Offer for Second Extension Year (3/31/2023) 
• All-Payer Model Extension Agreement (12/5/2022)
  • Vermont APM Extension Summary (11/02/2022)
• All-Payer Model Extension Request (December 2021)
  • Vermont APM Extension Request Letter (12/17/2021)
  • APM Extension Proposed Redline (12/17/2021)
  • CMMI Response to Vermont APM Extension Request (4/12/2022)

All-Payer Model Development Materials

• Memo Re: Proposed Technical Changes to the APM Agreement (2/26/2020)
• Vermont All-Payer Model Term Sheet (1/26/2016)
• Vermont All-Payer Model Term Sheet Proposal - Companion Paper (1/26/2016)
• Vermont All-Payer Model Term Sheet One Page Summary (1/26/2016)

For materials related to the development of the All-Payer Model and Vermont’s negotiations with the federal government, click here.

All-Payer Model Implementation Materials

• CMS Temporary Waiver of Enforcement of the Vermont All-Payer Accountable Care Organization Model State Agreement ACO Scale Targets (10/12/2021)
  • Centers for Medicare and Medicaid Services Letter Regarding Vermont's Non-Compliance with ACO Scale Targets (9/14/2020)
  • Vermont APM Signatories Response to Scale Warning Letter (12/11/2020)
  • CMS Review of State's Response to the Warning Notice (3/5/2021)
  • Vermont Scale Strategy Implementation -- Progress Update June 2021 (6/30/2021)
• Memo Re: Proposed Technical Changes to the APM Agreement (2/26/2020)
  • Draft Appendix 1
  • Draft Appendix 3 

Federal All-Payer Model Evaluation Materials

• Fourth Evaluation Report, Performance Years 1-5 (June 2024)
  • Fourth Evaluation Report: Evaluation of the Vermont All-Payer Accountable Care Organization Model
  • Findings At-A-Glance
  • Technical Appendices
• Third Evaluation Report, Performance Years 1-4 (July 2023)
  • Third Evaluation Report: Evaluation of the Vermont All-Payer Accountable Care Organization Model
  • Findings at a Glance: Vermont All-Payer Model Evaluation of the First Four Performance Years: 2018-2021
  • Technical Appendices: Third Evaluation Report, Evaluation of the Vermont All-Payer Accountable Care Organization Model
• Second Evaluation Report, Performance Years 1-3 (December 2022)
  • Second Evaluation Report: Evaluation of the Vermont All-Payer Accountable Care Organization Model
  • Findings at a Glance: Vermont All-Payer Model Evaluation of the First Three Performance Years: 2018-2020
  • Technical Appendices: Second Evaluation Report, Evaluation of the Vermont All-Payer Accountable Care Organization Model
• First Evaluation Report, Performance Years 1-2 (2018-2019) (August 2021)
  • First Evaluation Report: Evaluation of the Vermont All-Payer Accountable Care Organization Model
  • Findings at a Glance: Vermont All-Payer Model Evaluation of the First Two Performance Years: 2018-2019
  • Technical Appendices: First Evaluation Report, Evaluation of the Vermont All-Payer Accountable Care Organization Model

Medicare Benchmark and Trend Factor

• 2021 Vermont Medicare ACO Initiative Benchmark Request (12/23/2020)
• 2020 Vermont Medicare ACO Initiative Revised Benchmark Request (11/6/2020)
• Vermont GMCB Medicare Trend Factor Approval Request (12/22/2017)
• GMCB Attestation Letter (12/22/2017)

COVID

• CMS Response to the GMCB Request (re: COVID-19) (6/24/2020)
• Letter (re: Risk Corridor) from the Executive Director of GMCB to CMS, CMMI (5/27/2020)
• Letter (re: COVID-19) from State of Vermont to CMS, CMMI (4/27/2020)