Providers say a change to reimbursements will hit them at a particularly difficult time when the pandemic has increased overhead costs significantly.
A group of private health care providers are threatening to abandon their partnership with OneCare Vermont next year unless the accountable care organization rethinks some changes it plans to make to its reimbursement rates.
Launched in 2018, OneCare offers member groups a fixed payment for patient care, a departure from the traditional fee-for-service model. While initially offering a rate of $3.25 per patient per month, a new proposal will replace that with a range of $1.75 to $4.75 per month, depending on cost and quality metrics. Providers say the change will hit them at a particularly difficult time when the pandemic has increased overhead costs significantly.
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Emily Payne
Emily Payne is director, content analytics for ALM's Business & Finance Markets and former managing editor for BenefitsPRO. A Wisconsin native, she has spent the past decade writing and editing for various athletic and fitness publications. She holds an English degree and Business certificate from the University of Wisconsin.
