Todd Smith: Unaccountable care organizations

By Todd Smith | The Caledonian Record

On Oct. 1, One Care Vermont asked the Green Mountain Care Board to OK its $1.36 billion budget request for 2020. The state’s lone accountable care organization says it needs 33 percent more money next year than it had this year.

Todd Smith

Todd M. Smith is the publisher of the Caledonian Record.

More money, the group says, will lower health care spending in the long run through expanded preventative care efforts. It wants to claw that dough from Medicare, Medicaid, private insurers and hospitals.

There’s only one enormous problem. Last week VTDigger presented a report from Vermont Auditor Doug Hoffer that said One Care isn’t tracking any of the “community-based initiatives it promised to fund.” Without any data, it has no clue if anything it does actually works.

The thrust of One Care’s promise is to promote healthy lifestyles into Vermont communities, thereby lowering health care costs. According to Hoffer’s report, however, it also didn’t do that very well (or at all in many instances).

“The auditor’s office found that there was no evidence that OneCare had done some of the projects they had described in their budget earlier that year,” Digger reports.

Now One Care wants a 33% budget increase to neither provide services it promised nor to track outcomes on said programs. In One Care’s defense, it’s not easy to track data on services they aren’t providing in the first place.

So Vermont’s first billion dollar accountable care organization is already looking pretty unaccountable.

For our part, we try to eat right and exercise — the two things One Care wants us to do. When you pay attention to health care reform efforts in Vermont, unfortunately, you’re almost certain to develop neck and spine problems from shaking your head.

Todd M. Smith is the publisher of the Caledonian Record, where this editorial first appeared. He lives in St. Johnsbury.

Image courtesy of Todd Smith

8 thoughts on “Todd Smith: Unaccountable care organizations

  1. Sure looks like make busy work Pyramid Building to me.Jobs programs to pay those student loans,in the name of the children.

  2. The waste of money in this group is astounding…………and we get nothing for it. I am sure there are great AC groups that really care about affordable health care practices but this group should be audited and if need be shut down immediately. Typical democrats taking care of themselves in the guise of helping the masses

  3. Sounds like they should be contracting with the Pentagon

    $2 Trillion missing and nobody cares

    funny money

  4. Results? Who cares about tracking expenditures and outcome? It’s all about feeling good. I spent therefore I am a good organization. With this huge increase in funds, I’ll feel so much better. Will lack of accountability ever end?????

  5. Centralize all control, build a bewildering mass of bureaucracy, but most of all ELIMINATE ANY COMPETITION. Who are these One Care “patient counts?” Who gets paid in full for my care,
    even if I need none?

    The GOOD part is that nobody can know enough about this bureaucratic morass
    to make a meaningful criticism.

    ONECARE – pay per person, .

  6. MEMO to our lawmakers, bureaucrats and so-called “regulators “:

    You piss away our ratepayer and taxpayer money….once again with your failed promises to get something done…and no one has feet held to the fire…much less fired or prosecuted…or God forbid….suffer a paycut when you bleed red ink with our money

    “Over promise and under deliver” is your credo

    All you do is provide continuation of bloated, ineffective and expensive machines you create

    Yet, Vermont continues to vote these idiots to office, appoint them to positions of power, and reward lack of performace. You turn a blind eye to the waste and incompetence while supporting …even rewarding….those charged with the responsibiity to provide something substatative to us all

    Every last one of you should resign…but none of you see the connection between your paychecks and your duty to get it right

  7. Now One Care wants a 33% budget increase to neither provide services it promised nor to track outcomes on said programs……. So Vermont’s first billion-dollar accountable care organization is already looking pretty unaccountable…….. Outstanding results !!

    One ” No ” Care, Just another Bureaucratic Boondoggle !!

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