Vermont’s largest private health insurance provider will end its association with an organization that is working to change the way health care is paid for in the state, the company said Tuesday.
Blue Cross and Blue Shield of Vermont said they would be giving up their contracts with OneCare Vermont for 2023 due to a lack of tangible quality results, an inability to reduce costs, and what they feel is a “data approach.” new data” raises security and privacy concerns.
Blue Cross Vice President Andrew said in a statement: “Despite our best efforts, we have been unable to reach an agreement to serve our members for the next plan year.
The insurer says that none of its members who have been covered or attributed care to OneCare will see any change in their plan’s benefits. The company says just under 25% of Blue Cross’s 200,000 members are currently covered through the plan.
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OneCare CEO Vicki Loner said they worked with Blue Cross for nine months to reach an agreement and they were disappointed they could not agree on a contract, but they remained on the committee to improve health outcomes. well in Vermont.
“When insurers ignore health reform, patients lose out,” she said. “Through OneCare, we see evidence that Vermont is on the right track, as documented in numerous federal assessments. We remain committed to improving outcomes in partnership with the State and the community. service Provider.”
The goal of the so-called all-payer model is to make patients healthier while reducing health care costs by paying a certain amount per insured patient instead of each service provided.
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