Vermont
OneCare Vermont to shut down, ending major health care reform experiment
A key player in health care payment reform in Vermont announced it will shut down by the end of 2025.
OneCare Vermont allowed hospitals, independent practices, home health agencies, and other providers to collaborate by sharing financial information and other data. And they provided monthly payments to more than a dozen independent primary care practices for quality outcomes, which gave those practices an additional revenue stream on top of billing for individual services, called a “fee-for-service” model.
The organization was also an expensive player in the state’s health care system — hospitals and state agencies paid millions of dollars each year to support OneCare, which had close to 40 employees. It’s unclear whether the nonprofit’s work resulted in commensurate savings, according to a report this year from the Green Mountain Care Board.
“I think we tried to, perhaps, be too many things to too many people,” said Abe Berman, the CEO of OneCare, in an interview last week.
OneCare launched in 2016 as an experiment in how the state pays for health care, to get insurance companies and federal health insurance programs to compensate providers for quality measures with something called an “all-payer model.”
“It became a little bit of a panacea,” Berman said. “It was going to cure every ill in the system — and we know that’s not really how interventions work.”
The monthly payments that OneCare provided to some primary care practices help support patient services, like mental health care, care coordination, and other wrap-around services. After next year, those payments will go away.
“We are worried we are not going to be able to sustain that level of services for our patients,” said Dr. Toby Sadkin, a clinician at Primary Care Health Partners, a group with 10 offices in Vermont that covers thousands of patients throughout the state. Sadkin is also a member of OneCare’s board of managers.
“Another financial piece of it — and honestly this is so new that I really don’t know — but I worry about some of our practices. I worry that some of them might not actually be able to continue,” she said.
I worry about some of our practices. I worry that some of them might not actually be able to continue.
Dr. Toby Sadkin of Primary Care Health Partners
Owen Foster, with the Green Mountain Care Board, acknowledges that the end of OneCare will be a loss to some practices. But he says it was not a very efficient system.
“To get the money to primary care providers, we had a very expensive middleman, which was OneCare,” he said. “Money had to go from the hospitals to OneCare dues, out of OneCare, to individual primary care practices. That’s not a great way to pay for health care.”
He says throughout the tenure of the organization, health care payment in Vermont did not fundamentally shift away from the “fee for service” model. That was especially true a few years ago, after a big commercial insurer, BlueCross BlueShield Vermont, stopped working with OneCare.
The state is currently in negotiations with the federal government to potentially participate in another payment reform program called the AHEAD model.
“This is the only opportunity, really, to bring additional Medicare dollars and federal dollars to support primary care in Vermont,” said Jessa Barnard, the head of the Vermont Medical Society.
It’s would also be a continuation of some kind of value-based payment system that started with OneCare.
“If we’re not doing AHEAD, it really does all go away,” Barnard said.
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Vermont
Vermont high school sports scores, results, stats for Saturday, Jan. 10
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.
▶ Contact Judith Altneu at JAltneu@usatodayco.com. Follow her on X, formerly known as Twitter: @Judith_Altneu.
SATURDAY’S H.S. GAMES
Girls basketball
Games at 12:30 p.m. unless noted
Missisquoi 50, Winooski 49
M: Kelsey Paradee 14 points. Aurora King 13 points.
W: Taraji Bradley 18 points. Moo July Htoo 14 points.
Note: King hit the game winner at the buzzer to give the Thunderbirds the win.
Enosburg at Colchester
Mount Abraham at Middlebury
Danville at Williamstown, 4 p.m.
Boys basketball
Games at 2:30 p.m. unless noted
Hazen 65, Vergennes 60
H: Jameson Lamarre 22 points, 7 rebounds, 5 assists. Sullivan Laflam 17 points. Ethan Gann 10 points, 6 rebounds.
V: Theo Elzinga 15 points, 12 rebounds. Cohen Howell 15 points. Ryan Wright 11 points.
Lake Region at Missisquoi, 1:00 p.m.
BFA-Fairfax at Danville
Stowe at Richford
Oxbow at Blue Mountain
Northfield at Williamstown, 7 p.m.
Watch Vermont high school games on NFHS Network
Girls hockey
Burlington/Colchester at Chittenden Charge, 2:20 p.m.
Brattleboro at U-32, 2:30 p.m.
BFA-St. Albans at Essex, 3 p.m.
Burr and Burton at Stowe, 4:15 p.m.
Hartford at Rutland, 4:30 p.m.
Kingdom Blades at Rice, 4:35 p.m.
Harwood at Woodstock, 5:15 p.m.
Spaulding at Missisquoi, 5:30 p.m.
Boys hockey
BFA-St. Albans at Essex, 5 p.m.
Rice at Champlain Valley, 6:50 p.m.
Mount Mansfield at Burr and Burton, 5 p.m.
U-32 at Colchester, 4:50 p.m.
Stowe at Brattleboro, 4:45 p.m.
Middlebury at Saranac, NY
Milton at Missisquoi, 8 p.m.
Burlington at Hartford, 2 p.m.
St. Johnsbury at Woodstock, 7:15 p.m.
MONDAY’S H.S. GAMES
Girls basketball
Games at 7 p.m. unless noted
Spaulding at Lyndon, 6:30 p.m.
BFA-Fairfax at Twinfield/Cabot
Milton at Enosburg
Winooski at Danville
Boys basketball
Games at 7 p.m. unless noted
BFA-St. Albans at Burlington
Thetford at Peoples
St. Johnsbury at Champlain Valley
Montpelier at Harwood
Essex at South Burlington
Rice at Mount Mansfield
(Subject to change)
Vermont
How UVM hockey teams fared Jan. 9-10 — Schedule, scores, results
UVM welcomes Adrian Dubois as new men’s soccer coach
Adrian Dubois answers questions from the media following his introductory press conference on Monday, Dec. 22.
Conference play is in full swing to both Vermont basketball and hockey teams. Vermont basketball and women’s basketball both have a bye on Saturday, Jan. 10, meaning only the hockey teams are in action.
How did those Catamounts men’s and women’s hockey teams fare this weekend? For schedule, scores and stats from all games, read on below:
FRIDAY, JAN. 9
Women’s hockey
Vermont 4, Merrimack 1
V: Oona Havana 2G. Kaylee Lewis 1G. Rose-Marie Brochu 1G. Julia Mesplede 2A. Stella Retrum 1A. Lauren O’Hara 1A. Brooke George 1A. Ashley Kokavec 1A. Zoe Cliche 19 saves.
M: Emma Pfeffer 1G. Stina Sandberg 1A. Avery Anderson 1A. Lauren Lyons 39 saves.
Note: The women’s hockey team has won three straight games securing its largest win streak of the season.
Men’s hockey
Vermont 3, Northeastern 2
V: Sebastian Tornqvist 1G, 2A. Jens Richards 1G. Massimo Lombardi 1G. Colin Kessler 1A. Aiden Wright 1A. Jack Malinski 1A. Cedrick Guindon 1A. Aiden Wright 20 saves.
N: Joe Connor 1G. Amine Hajibi 1G. Jack Henry 1A. Tyler Fukakusa 1A. Dylan Hryckowian 1A. Dylan Finlay 1A. Lawton Zacher 21 saves.
Note: The men’s hockey team has won two straight games for the first time since winning its first two games of the season (Oct. 4-10).
SATURDAY, JAN. 10
Women’s hockey
Vermont at Merrimack, 2 p.m.
Men’s hockey
Northeastern at Vermont, 7 p.m.
Contact Alex Abrami at aabrami@freepressmedia.com. Follow him on X, formerly known as Twitter: @aabrami5.
Contact Judith Altneu at JAltneu@usatodayco.com. Follow her on X, formerly known as Twitter: @Judith_Altneu.
Vermont
Brattleboro Memorial Hospital reaches settlement with US Justice Department over ADA compliance
Brattleboro Memorial Hospital has reached a settlement with the U.S. Department of Justice over allegations that the hospital violated the Americans with Disabilities Act during patient visits dating back to at least 2018.
The U.S. attorney for the District of Vermont received a complaint from a patient who said Brattleboro Memorial failed to provide qualified sign language interpreters and appropriate auxiliary aids and services during visits to the emergency department.
After an investigation, the U.S. attorney’s office said it discovered other patients, whose primary means of communication is American Sign Language, who did not receive adequate services from the hospital.
Under terms of the agreement, the hospital says it will provide qualified interpreters, create a new grievance procedure, provide training to its staff personnel on effective communication, and designate a program administrator who will coordinate 24/7 access to auxiliary aids and services.
“BMH believes the agreement represents a positive step forward and aligns with the Hospital’s ongoing commitment to accessibility, inclusion, and high-quality care for all patients,” hospital spokesperson Gina Pattison wrote in a prepared statement. “The agreement reflects improvements BMH has implemented over the past several years to better serve patients who are deaf or hard of hearing.”
Pattison wrote that the hospital worked cooperatively with the Department of Justice throughout the investigation, and that over the past few years a series of new steps have been taken to better serve the deaf and hard of hearing community.
Since 2023, Brattleboro Memorial has been working with the group Deaf Vermonters Advocacy Services to update policies, procedures, staff education and clinical practices, according to Pattison.
Pattison said the hospital now has an on-call, in-person interpreter program along with access to video remote interpreting services.
The settlement agreement also requires the hospital to establish a fund to compensate people who have been affected by the failure to provide appropriate communication services from 2018 through 2025.
“For the average person, going to the ER during a medical emergency is scary. Deaf individuals have the added stress and worry that they will not be able to communicate their symptoms, understand the doctor’s questions, or give consent because they do not have effective communication,” Deaf Vermonters Advocacy Services Director Rebecca Lalanne wrote in an email. “It is everyone’s hope that this agreement will change that experience and that BMH will assess and accommodate in accordance with the law.”
The U.S. attorney’s office will not pursue further legal action, according to the agreement.
Any person who visited the hospital and failed to receive appropriate services can contact the U.S. attorney’s office to fill out a civil rights complaint form.
“It is well settled under the ADA that patients have the right to effective communication in hospitals and doctors’ offices,” the Department of Justice press release said. “BMH has already taken steps to comply with its obligations under the ADA. And with the resolution agreement, BMH will timely provide qualified interpreters when necessary to ensure effective communication with patients and companions.”
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