OneCare Vermont ACO Case Study: Community Care Coordination Program (Case Study)
U.S. Department of Health and Human Services, Center for Medicare & Medicaid Innovation
- The ACO reported not only an increase in primary care engagement among beneficiaries who participated in the program but also reductions in emergency department utilization and costs.
This case study describes the development and implementation of OneCare Vermont’s community care coordination program for beneficiaries who are considered high risk because of their historical cost and utilization of health care. Since the program’s inception in 2016, more than 5,000 individuals across the state have received care coordination services. OneCare Vermont supports primary care and other community organizations with the delivery of care coordination services via a secure communications and collaboration platform, regional collaboratives, targeted technical assistance and training, and payments. OneCare Vermont’s approach to care coordination may be informative for ACOs and other health care organizations that are designing programs intended to foster collaboration among primary care, specialty, and other community-based providers.