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Vermont health care regulators approve OneCare’s annual budget, likely its last – VTDigger

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Vermont health care regulators approve OneCare’s annual budget, likely its last – VTDigger


File photo by Erin Mansfield/VTDigger

For likely the last time, state health care regulators at the Green Mountain Care Board on Wednesday approved the annual budget for OneCare Vermont, the accountable care organization that has been the linchpin of Vermont’s “all-payer” health care payment reform efforts since 2018.

OneCare announced in early November that 2025 would be its last year in operation. Dec. 31, 2025, is also the anticipated end date for what the Centers for Medicare and Medicaid Services calls the “Vermont All-Payer ACO Model.”

The care board approved an organizational budget of just under $11.3 million, a reduction of almost $1.5 million from OneCare’s original request, submitted before the nonprofit’s board of managers voted to close its doors. 

Regulators directed OneCare — which since October 2021 has been solely a subsidiary of the University of Vermont Health Network — to redistribute the latter amount to independent health care providers that participate in the organization’s “population health management” programs, including primary care offices, home health agencies and area agencies on aging. 

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Green Mountain Care Board Chair Owen Foster called the approved budget “very fair for OneCare,” given that it was not significantly lower than the organization’s actual spending in 2024.

The reduced budget level-funded salary and benefit expenses from 2024 and eliminated the unfilled position of chief financial officer. Tom Borys, who served in that role, took over as interim chief executive officer after Abe Berman, who served as OneCare’s CEO since May 2023, stepped down earlier this month. 

OneCare Vermont to shut down


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The care board also cut money that was allocated to pay for an annual outside evaluation no longer being required by the board, and for lobbying and board recruitment. 

“It’s obviously a different budget than in prior years with a winddown coming of the operations,” Foster said. 

Borys acknowledged that “the paradigm has changed for us” and accepted the rationale for the cuts in public comments to the board on Dec. 4 and written comments on Dec. 12. The organization’s goal for 2025 was to “do our best for the state, the providers, the patients that they serve, and also be mindful of the cost,” he said. 

Borys added that OneCare expected to continue its full list of activities through the end of 2025. The plan is to spend the first half of 2026 closing down, with the final steps of the shutdown completed by that October, he said. Care board staff said it was currently unclear whether the regulator would need to approve a partial budget for 2026, assuming the federal “all-payer model” ends when expected at the end of 2025.

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The model has been a unique policy framework — and the basis for a legal contract between the federal health insurance agency, Vermont’s Agency of Human Services and the care board — that has allowed Medicare and Medicaid funds to be distributed by an accountable care organization in nontraditional ways. 

The new payment methods have included adding bonus payments for providers who meet certain care quality standards and “per patient per month” payments to independent primary care providers. The strategies were intended to bolster preventative care and reduce overall health care spending. 

For the duration of the model’s contract, which started in 2018, OneCare has been Vermont’s only “all-payer” accountable care organization — meaning it does business with private providers, Medicaid and Medicare — so it has been the only entity capable of carrying out the terms of the agreement. 

In late November, the care board approved the 2025 budgets of Lore Health, Vytalize Health and Aledade Accountable Care as submitted. All three are accountable care organizations operating in Vermont that provide services only to patients insured by Medicare. 

On Wednesday, members of the care board also received an update on negotiations with the Centers for Medicare and Medicaid Services over Vermont’s participation in a new federal reform model called the AHEAD program, which stands for States Advancing All-Payer Health Equity Approaches and Development. 

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Vermont is one of six states that has been selected to participate. The others are Maryland, Connecticut, Hawaii, New York and Rhode Island.  A care board vote on whether to move forward with preparations to participate is expected in mid-January. 

Care board member Thom Walsh questioned whether President-elect Donald Trump’s incoming administration would back the federal reform program’s continued rollout. If it did not, he asked, did leaders at the Agency of Human Services have a backup plan for funding programs that health care providers and their patients have come to rely on?

OneCare did successfully defend one part of its 2025 budget: the continuation of its “regional care representative” program, which the care board had put on the chopping block. 

The $300,000 pays primary care providers within OneCare’s network to work with peers in their region on how best to make use of the data and reports the ACO provides. The program is needed for the organization to maintain a connection with those offices, which is essential for progress towards shared care quality goals, Borys said. 

“I’d like personally to end the all-payer model era on a high note,” he said.

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In Vermont, small town meetings grapple with debate on big issues

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In Vermont, small town meetings grapple with debate on big issues


Tuesday is town meeting day in Vermont. Municipalities in New England and elsewhere are increasingly grappling with major national and international issues at the local level.

JOSEPH PREZIOSO/Getty Images


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JOSEPH PREZIOSO/Getty Images

If you haven’t lived in certain New England towns, it can be hard to fathom their centuries-old direct democracy-style Town Meetings, where everyday residents vote on mundane town business such as funding for schools, snow plows and road repairs.

These days, voters are also being asked to weigh in on national and international issues, for example, demanding the de-funding of ICE, and condemning “the unprovoked attack and start of an illegal and immoral war against Iran.” It’s all fueling a separate – and fierce– debate on what towns ought to be debating.

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“When you have people sleepwalking into an authoritarian regime, it’s up to us to sound the alarm,” insists Dan Dewalt, an activist in Newfane, Vermont, one of several communities where residents scrambled to draft a resolution against the Iran war in time for their annual Town Meeting on Tuesday.

Local resolutions are a uniquely effective tactic, activists and experts say, and they’re being used increasingly around New England and beyond, especially as national politics have become so polarized.

“People feel isolated, helpless and hopeless. And when you hear about other people who are just like you taking a stand and representing something that you believe, that gives you not only hope, but it gives you power,” said Dewalt.

Several other Vermont towns will be considering resolutions Tuesday calling for the removal of the president and vice president “for crimes against the U.S. Constitution,” while many others will vote on a pledge to ” to end all support of Israel’s apartheid policies, settler colonialism, and military occupation and aggression.”

A similar divestment resolution passed 46 -15 in Newfane last year, following hours of heated argument over the plight of Palestinians, the security of Israelis, the “inflammatory” language of the resolution – and whether such problems half-a-world away even belong on the agenda of the tiny town of just about 1,650.

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“It’s a Town Meeting for town issues,” Newfane resident Walter Hagadorn declared at a recent Select Board meeting, where residents pressed board members to block any future resolutions not directly related to town business.

“You shouldn’t be subject to hours and hours of people virtue signaling” and trying to “hijack Town Meeting,” Hagadorn said.

Others agreed, suggesting activists host a debate on their issues at another time and place, or stage a rally or protest instead.

But Select Board member Katy Johnson-Aplin pushed back, saying that would not have the same impact.

“It doesn’t work the same way,” Johnson-Aplin said. It’s only when the issue is formally taken up at a Town Meeting that “it goes in the newspaper and it’s recorded that the town of Newfane has agreed to have this conversation.”

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University of Pennsylvania political science professor Daniel Hopkins has been watching the growing movement of local communities taking a stand on issues far beyond town lines.

“This is a trend we’re seeing increasingly across the 50 states and in a variety of ways but I think it has taken on a new and potentially more concerning edge,” Hopkins said. “I worry that we are in an attention-grabbing, sensation-rewarding media environment in which the kinds of issues that engage us at a national level may further polarize states and localities and make it harder for them to build meaningful coalitions on other issues.”

Indeed, in Newfane, the resolution regarding Israel became so divisive that some residents decided not to even come to last year’s Town Meeting, according to Select Board vice-chair Marion Dowling.

In Burlington, where a similar resolution was proposed, City Council President Ben Traverse says things got so heated, he and his family were getting harassing phone calls and even death threats. Burlington city councilors voted in January to block the question from going to a popular vote.Vermont has a history of “big issue” resolutions, from the push for a Nuclear Arms Freeze in the 1980’s, to calls to ban genetically modified foods in 2003. Dewalt, the Newfane activist, was behind several of them, including calls to impeach then-president George W. Bush in 2006, which got him invited to talk about it on network TV shows, and quoted in The New York Times.

“I can guarantee you if I stood up on my soap box and made a declaration of the exact same wording, I wouldn’t have had anybody asking me questions about it, he said. “We’re not pie-in-the-sky here about the power of our Newfane Town Meetings, but our actions have consistently had an impact.”

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But opponents say activists overstate the impact of their resolutions, and their victory. They say it’s disingenuous, for example, to claim the town of Newfane supported the resolution against Israel, when the winning majority of 46 people was less than 3% of town residents.

“I feel like they’re using the town as a vehicle for their personal messages and that bothers me,” says Newfane resident Cris White. “It’s so junior high.”

Traverse, the Burlington City Council president, also takes issue with what he calls the “inflammatory” language of that resolution.

“The question, as presented, approaches this issue in a one-sided and leading way,” Traverse says.

In Vermont, any registered voter can get a resolution on the Town Meeting agenda by collecting signatures from 5% of their town’s voters. While elected city or town officials have the authority to allow or block the resolution, there is no process in place to vet or edit language.

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Traverse says it would behoove city leaders and voters to require an official review to ensure that language is fair and neutral, just as many states do with ballot questions. Traverse says he’s not opposed to contentious, big issue resolutions being put to local voters, but the language must be clear and even-handed.



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Vermont high school playoff scores, results, stats for Monday, March 2

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Vermont high school playoff scores, results, stats for Monday, March 2


The 2025-2026 Vermont high school winter season has begun. See below for scores, schedules and game details (statistical leaders, game notes) from basketball, hockey, gymnastics, wrestling, Nordic/Alpine skiing and other winter sports.

TO REPORT SCORES

Coaches or team representatives are asked to report results ASAP after games by emailing sports@burlingtonfreepress.com. Please submit with a name/contact number.

Contact Alex Abrami at aabrami@freepressmedia.com. Follow him on X, formerly known as Twitter: @aabrami5.

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Contact Judith Altneu at JAltneu@usatodayco.com. Follow her on X, formerly known as Twitter: @Judith_Altneu.

MONDAY’S H.S. PLAYOFF GAMES

ALPINE SKIING

State championships (giant slalom) at Burke Mountain

D-I GIRLS BASKETBALL SEMIFINALS

At Patrick Gym

No. 2 Rutland (19-2) vs. No. 3 St. Johnsbury (16-5), 6 p.m.

No. 1 Mount Mansfield (20-1) vs. No. 4 North Country (19-3), 7:30 p.m.

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D-IV GIRLS BASKETBALL SEMIFINALS

At Barre Auditorium

No. 1 Richford (19-2) vs. No. 4 Mid Vermont Christian (6-2), 5:30 p.m.

No. 3 West Rutland (14-8) vs. No. 7 Rivendell (12-10), 7:30 p.m.

D-I BOYS BASKETBALL PLAYDOWNS

Games at 7 p.m. unless noted

No. 13 North Country (3-17) at No. 4 Rutland (14-6)

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No. 12 Essex (4-16) at No. 5 Champlain Valley (12-8)

No. 10 St. Johnsbury (5-15) at No. 7 Burr and Burton (12-8)

No. 11 Colchester (5-15) at No. 6 BFA-St. Albans (12-8)

D-III BOYS BASKETBALL PLAYDOWNS

No. 11 BFA-Fairfax (10-10) at No. 6 Thetford (12-8), 7 p.m.

D-IV BOYS BASKETBALL PLAY-INS

No. 17 Sharon (3-17) at No. 16 Long Trail (4-16), 6 p.m.

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TUESDAY’S H.S. PLAYOFF GAMES

ALPINE SKIING

State championships (slalom) at Burke Mountain

D-II GIRLS HOCKEY PLAY-INS

No. 9 Brattleboro (0-17-1) at No. 8 Stowe (4-16), 5:15 p.m.

D-I BOYS HOCKEY PLAY-INS

No. 8 Burlington (8-12) at No. 9 St. Johnsbury (3-16-1), 5:30 p.m.

D-II BOYS BASKETBALL PLAYDOWNS

No. 13 Lake Region (4-16) at No. 4 Montpelier (11-9), 7 p.m.

D-IV BOYS BASKETBALL PLAYDOWNS

Games at 7 p.m. unless noted

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No. 9 Arlington (11-9) at No. 8 Richford (12-8), 6 p.m.

Winner Game 1 at No. 1 Twinfield/Cabot (19-1)

No. 13 Grace Christian (4-15) at No. 4 Mount St. Joseph (17-2)

No. 12 Poultney (6-14) at No. 5 Twin Valley (16-4)

No. 15 Blue Mountain (3-17) at No. 2 West Rutland (20-0)

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No. 10 Proctor (11-9) at No. 7 Danville (14-6)

No. 14 Northfield (3-17) at No. 3 Mid Vermont Christian (2-0)

No. 11 Rivendell (10-10) at No. 6 Williamstown (14-6)

(Subject to change)





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VT Lottery Pick 3, Pick 3 Evening results for March 1, 2026

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Powerball, Mega Millions jackpots: What to know in case you win

Here’s what to know in case you win the Powerball or Mega Millions jackpot.

Just the FAQs, USA TODAY

The Vermont Lottery offers several draw games for those willing to make a bet to win big.

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Those who want to play can enter the MegaBucks and Lucky for Life games as well as the national Powerball and Mega Millions games. Vermont also partners with New Hampshire and Maine for the Tri-State Lottery, which includes the Mega Bucks, Gimme 5 as well as the Pick 3 and Pick 4.

Drawings are held at regular days and times, check the end of this story to see the schedule.

Here’s a look at March 1, 2026, results for each game:

Winning Pick 3 numbers from March 1 drawing

Day: 8-7-7

Evening: 0-3-3

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Check Pick 3 payouts and previous drawings here.

Winning Pick 4 numbers from March 1 drawing

Day: 1-8-1-2

Evening: 0-3-1-1

Check Pick 4 payouts and previous drawings here.

Winning Millionaire for Life numbers from March 1 drawing

10-11-12-35-56, Bonus: 04

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Check Millionaire for Life payouts and previous drawings here.

Feeling lucky? Explore the latest lottery news & results

Are you a winner? Here’s how to claim your lottery prize

For Vermont Lottery prizes up to $499, winners can claim their prize at any authorized Vermont Lottery retailer or at the Vermont Lottery Headquarters by presenting the signed winning ticket for validation. Prizes between $500 and $5,000 can be claimed at any M&T Bank location in Vermont during the Vermont Lottery Office’s business hours, which are 8a.m.-4p.m. Monday through Friday, except state holidays.

For prizes over $5,000, claims must be made in person at the Vermont Lottery headquarters. In addition to signing your ticket, you will need to bring a government-issued photo ID, and a completed claim form.

All prize claims must be submitted within one year of the drawing date. For more information on prize claims or to download a Vermont Lottery Claim Form, visit the Vermont Lottery’s FAQ page or contact their customer service line at (802) 479-5686.

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Vermont Lottery Headquarters

1311 US Route 302, Suite 100

Barre, VT

05641

When are the Vermont Lottery drawings held?

  • Powerball: 10:59 p.m. Monday, Wednesday, and Saturday.
  • Mega Millions: 11 p.m. Tuesday and Friday.
  • Gimme 5: 6:55 p.m. Monday through Friday.
  • Lucky for Life: 10:38 p.m. daily.
  • Pick 3 Day: 1:10 p.m. daily.
  • Pick 4 Day: 1:10 p.m. daily.
  • Pick 3 Evening: 6:55 p.m. daily.
  • Pick 4 Evening: 6:55 p.m. daily.
  • Megabucks: 7:59 p.m. Monday, Wednesday and Saturday.
  • Millionaire for Life: 11:15 p.m. daily

What is Vermont Lottery Second Chance?

Vermont’s 2nd Chance lottery lets players enter eligible non-winning instant scratch tickets into a drawing to win cash and/or other prizes. Players must register through the state’s official Lottery website or app. The drawings are held quarterly or are part of an additional promotion, and are done at Pollard Banknote Limited in Winnipeg, MB, Canada.

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This results page was generated automatically using information from TinBu and a template written and reviewed by a Vermont editor. You can send feedback using this form.



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