Berry Dunn Report: Impact of Rate Review on APM TCOC
18 December 2018
State of Vermont
All Payer
About the All-Payer Model
Background
GMCB Correspondence with OneCare Vermont
- GMCB Questions to OneCare Vermont (11/06/2017)
- Lewis and Ellis Inc. Recommendations for ACO Budget (11/06/2017)
- Lewis & Ellis Inc. Recommendations for ACO Budget (11/01/2017)
Correspondence from Health Care Advocate
- HCA Letter to OneCare Vermont (10/31/2017)
- OneCare Vermont Cover Letter & Response to HCA (10/24/2017)
- HCA Pre-Hearing Questions to GMCB RE: OneCare ACO Budget Review (07/06/2017)
Vermont All-Payer ACO Model Agreement
12 June 2017
Vermont All-Payer ACO Model Agreement
Appendix D: ACO Initiatives to Address All-Payer Model Quality Measures
12 June 2017
Appendix D: ACO Initiatives to Address All-Payer Model Quality Measures
Appendix C: ACO Budget Review Templates (Excel Format)
12 June 2017
Appendix C: ACO Budget Review Templates (Excel Format)
GMCB ACO Budget Guidance and Letter (May 3, 2017)
12 June 2017
GMCB ACO Budget Guidance and Letter (May 3, 2017)
(APM) Appendix A & B: Program Arrangements Between ACO and Payer
12 June 2017
(APM) Appendix A & B: Program Arrangements Between ACO and Payer
ACO Oversight
In 2016, the Green Mountain Care Board was given the authority to develop rules and standards to regulate Accountable Care Organizations (ACOs) through Vermont’s Act 113: ‘An act relating to implementing an all-payer model and oversight of accountable care organizations.’ The GMCB has adopted, Rule 5.000: Oversight of Accountable Care Organizations, which establishes standards and processes the GMCB will use to certify ACOs and annually review, modify, and approve their budgets, and mechanisms by w
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