The Centers for Medicare & Medicaid Services published the Vermont All-Payer Model two-year evaluation. The all-payer and Medicare scale target goals were missed at this milestone. However, there were statistically significant spending reductions and decreases in 30-day readmissions and declines in acute care stays.
This six-year, opt-in model brings Medicare, Medicaid, and Blue Cross Blue Shield of Vermont together with hospitals and providers in a given health service area to continue population health improvement efforts and meet health outcome and cost reduction targets at both the state and accountable care organization level. With three more performance years to evaluate, there will be more reports and take-aways from this model to inform the continued shift to value-based care.