COLCH­ESTER, Vt.

Modern Healthcare - - REGIONAL NEWS -

The two big aca­demic med­i­cal cen­ters serv­ing Ver­mont, of­ten seen as ri­vals, joined with 13 other Ver­mont hos­pi­tals and health clin­ics to form a new ac­count­able care or­ga­ni­za­tion—OneCare Ver­mont—to fo­cus on ef­fi­ciency and qual­ity in health­care. The an­nounce­ment by Burling­ton-based Fletcher Allen, a teach­ing hospi­tal af­fil­i­ated with the Univer­sity of Ver­mont Col­lege of Medicine, and the Dart­mouth-Hitch­cock Med­i­cal Cen­ter, the hospi­tal af­fil­i­ated with Dart­mouth’s Geisel Med­i­cal School, fol­lowed ap­proval of the new ACO and 105 oth­ers by the CMS un­der Medi­care con­tracts ef­fec­tive Jan. 1. OneCare will de­liver care to 42,000 of Ver­mont’s roughly 118,000 Medi­care ben­e­fi­cia­ries, and of­fi­cials said it was the first in the coun­try with statewide reach. “OneCare Ver­mont rep­re­sents a huge shift in med­i­cal prac­tice in Ver­mont,” said Dr. John Brum­sted, pres­i­dent and CEO of Fletcher Allen Health Care. Todd Moore, se­nior vice pres­i­dent for ac­count­able care and rev­enue strat­egy at Fletcher Allen, will serve as CEO of OneCare. The an­nounce­ment was wel­comed by Gov. Peter Shum­lin, who is work­ing to move the state to­ward a uni­ver­sal, sin­gle-payer health­care sys­tem by 2017. “The success of health­care re­form de­pends on trans­form­ing into a more ef­fec­tive, ef­fi­cient health­care sys­tem,” Shum­lin said in a state­ment. “We need our health­care providers to lead this ef­fort.” When Brum­sted and Moore pre­sented the OneCare plans to a state Se­nate com­mit­tee, some mem­bers ex­pressed con­cern that the statewide reach would lead to a health­care mo­nop­oly in Ver­mont.

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