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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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Vermont

Norman Rockwell finally gets his day in new Shelburne Museum exhibit

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Norman Rockwell finally gets his day in new Shelburne Museum exhibit


SHELBURNE — Norman Rockwell lived for a time in suburban New York City and died and was buried in the Berkshires of Massachusetts. But for 14 years in between, the artist spent perhaps the most prolific period of his career in Vermont creating his best-known works.

That’s how Shelburne Museum curator Carolyn Bauer sees it — and how the museum’s latest exhibition treats the artist.

“Norman Rockwell: At Home in Vermont,” which opens June 20 and runs through Oct. 25, displays 40 of the 175 covers Rockwell famously created for The Saturday Evening Post magazine during his time in Vermont between 1939 and 1953.

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Also on display are prints of “The Four Freedoms,” maybe his most famed works of all, which represent American ideals spelled out by President Franklin D. Roosevelt in 1941. Paintings in the exhibition include “The Young Lady with the Shiner” and “The Tattoo Artist,” both whimsical, recognizable pieces used as covers for The Saturday Evening Post.

“It’s very accessible work and approachable,” Bauer said.

The display features the three paintings that inspired the exhibition, given to the Shelburne Museum by Rock of Ages, the Barre granite quarry and monument maker. Those Rockwell paintings filled a significant gap in the museum’s art collection, which includes works by Claude Monet, Edgar Degas, Grandma Moses and Andrew Wyeth but, until recently, none by Rockwell, perhaps the best-known artist to have lived here.

“It feels like a homecoming in many regards,” Bauer said.

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Moving to southern VT, finding ‘the every American’

The exhibition frames Rockwell’s time in Vermont around the tenor of the times in America. As the Great Depression was ending, World War II was looming and the nation was growing more urban and industrialized, much of the public was yearning for greater simplicity, Bauer said.

Rockwell was among them, leaving New Rochelle north of New York City for the quietude of Arlington in southern Vermont.

He was not alone. Contemporary artists including Mead Schaeffer, John Atherton and Gene Pelham would settle in Arlington too, creating what Bauer termed “the golden illustrator days” in Vermont.

Rockwell’s art, as the 152-page hardcover catalogue accompanying the exhibition notes, shows “how Vermont itself came to embody American ideals in the national imagination.”

Rockwell and his fellow Arlington artists used each other as models in their creations. “They really would work collaboratively,” Bauer said.

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Pelham’s daughter, Melinda, is shown in the exhibition in two works: “The Babysitter,” a painting of a girl holding a crying baby that’s on loan from The Fleming Museum at the University of Vermont and an admission submission Rockwell sent to Kellogg’s of a girl clutching a cereal-laden spoon to her mouth.

Doctors, mail deliverers and shopkeepers from Arlington populated his work. Bauer said Rockwell usually gave models $5 and a can of Coca-Cola.

“He was recycling and using just about everybody in town,” Bauer said. That included himself: Rockwell added his own visage to the multiple faces in “The Gossip,” which shows him lashing out at a woman who’s started the rumor-mongering.

Bauer said Rockwell wanted to cultivate a sense of place by using Vermonters known for their austere self-reliance at the forefront of his work. He also found “the every American” ideal in town, Bauer said, though his art reflected a pronounced lack of diversity.

In later work, Rockwell would confront race and segregation as the Civil Rights Movement swept the U.S.

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“He was progressive,” Bauer said.

Inspired by paintings donated by Rock of Ages

“Norman Rockwell: At Home in Vermont” was inspired by the 2025 museum acquisition of a trio of Rockwell works that once hung in the Barre offices of Rock of Ages. The granite company contacted the museum asking if it could donate the paintings, Bauer said, prompting staffers to wonder momentarily, “Is this real?”

Rockwell created advertisements for Rock of Ages and gave the paintings upon which the ads were based to the company. “Kneeling Girl” from 1955, making its debut at the Shelburne Museum, takes place in front of a gravestone engraved with the name Newton.

Rock of Ages donated two versions of 1963 work “The Craftsman,” a muted draft and a more luminous final version that were first displayed at the museum last year. They depict Rock of Ages stonecutter George Seivwright working in the shadow of a memorial bearing the name “Norwell,” a portmanteau of Rockwell’s first and last names.

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Bauer called the paintings “incredible works of art that were circulated widely” in ads, brochures and pamphlets touting Rock of Ages and its world-famous Vermont granite. Though Rockwell had left Vermont for Massachusetts by the time he created those paintings, they do what Rockwell had done when he lived in Arlington — show the nation and the world what Vermont and Vermonters are capable of.

“We are just eager for our visitors to see these paintings,” Bauer said.

If you go

WHAT: “Norman Rockwell: At Home in Vermont”

WHEN: June 20 through Oct. 25

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WHERE: Pizzagalli Center for Art and Education, Shelburne Museum

INFORMATION: $8-$25 museum admission; free under age 5 and for active military and Shelburne Museum members. shelburnemuseum.org

Contact Brent Hallenbeck at bhallenbeck@burlingtonfreepress.com.



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Possible tornado causes damage in small Vermont town during Thursday’s intense storms – The Boston Globe

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Possible tornado causes damage in small Vermont town during Thursday’s intense storms – The Boston Globe


The National Weather Service is investigating whether a small tornado touched down in Woodstock in eastern Vermont on Thursday afternoon as intense storms swept through the area, uprooting and snapping trees, and causing structural damage.

A damage survey team is expected to assess the damage on Friday morning to confirm whether any tornadoes touched down during the severe thunderstorms, the Weather Service in Burlington, Vt., said.

The suspected tornado occurred some time between 2 p.m. and 3 p.m., according to the NWS. A tight vortex, a marker for rotation, was spotted on radar, although there was no debris signature detected on radar. No tornado warnings were issued at the time.

If a tornado is confirmed to have touched down, the survey team will also determine the size, path, and intensity of the twister.

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Some of the damage left behind by what is believed to have been a tornado that touched down Thursday.Chris Markos

The last tornado to touch down in Vermont was just a couple of months ago. On April 16, 2026, an EF1 touched down in Williamstown, Vt., according to the NWS. An EF1 tornado is the second-lowest rating for twisters, according to the Enhanced Fujita Scale, which ranks them based on intensity.

Several supercells had tracked across northern New York into southern and central Vermont, producing large hail and damaging winds, and eventually spawning the tornado, which the Weather Service said was about a half-mile long and 200 yards wide at its peak. The damage survey team also found ”extensive wind damage between Ainsworth State Park and Jackson Center with estimated winds between 70 and 80 mph,“ which was caused by an accompanying microburst, the NWS said.

Large trees are seen uprooted near Staples Pond in Williamstown, Vt., in April.NWS

More than an hour after the Vermont storm, two tornado warnings were issued for southern Worcester County after a pair of tight vortexes were spotted on radar, indicating a possible tornado.

No structural or other damages were found, but storm spotters have submitted reports of a funnel cloud near the Spencer-Leicester town line.


Ken Mahan can be reached at ken.mahan@globe.com. Follow him on Instagram @kenmahantheweatherman. Marianne Mizera can be reached at marianne.mizera@globe.com. Follow her @MareMizera.





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Vermont law enforcement officers petition for highway dedication in honor of David Chris Maland

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Vermont law enforcement officers petition for highway dedication in honor of David Chris Maland


It’s been nearly a year and a half since border agent David ‘Chris’ Maland was shot and killed during a traffic stop near the interstate in Coventry, Vermont. Now, a group of law enforcement officers are petitioning to dedicate a section of I-91 to him.



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