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.

The GMCB's oversight of Accountable Care Organizations (ACOs) consists of 1) certification and 2) annual budget review. These regulatory processes include a review of: programs and investments to facilitate the shift to value-based care; investments in health improvement activities; tools and analytics to support providers and improve health care quality and reduce unnecessary costs; ACO administrative costs; and the alignment of ACO strategies with Vermont’s All-Payer Model goals.

There are two types of ACOs that the GMCB will oversee in FY24: