OneCare Vermont

What OneCare Vermont does

OneCare Vermont was a private nonprofit accountable care organization (ACO) founded in 2012 as a partnership between Dartmouth Health and the University of Vermont Medical Center. Operating as shared infrastructure, it consolidated ACO program management, data analytics, and payment reform administration across a network that peaked at over 5,000 Vermont-based providers — including hospitals, federally qualified health centers (FQHCs), independent primary care practices, specialty practices, area agencies on aging, designated mental health and substance abuse agencies, home health agencies, and skilled nursing facilities. The organization did not deliver patient care directly; instead, it served as an intermediary aligning financial incentives and quality metrics between payers (Medicare, Vermont Medicaid via DVHA, and regional commercial insurers) and the provider community. Geographic scope covered Vermont plus a small adjacent region of New Hampshire.

The core technology stack centered on data aggregation and self-service analytics, assembling claims and cost data from multiple payers to provide providers with total cost of care visibility for attributed patient populations. Three operational service lines ran in parallel: Network Performance Management (quality improvement and accountability standards), Data & Analytics Support (self-service tools, practice/regional/ad hoc reporting), and Payment Reform. The Payment Reform suite included the Comprehensive Payment Reform (CPR) program launched in 2018 — which converted primary care reimbursement from fee-for-service to payer-blended monthly fixed payments averaging 150% of FFS by 2025 — and a hospital fixed payment arrangement managed in partnership with DVHA since 2017. CPR earned the Weitzman Institute Primary Care Impact Award in May 2025.

Revenue came from pass-through ACO contracts with payers (Medicare MSSP, Vermont Medicaid, regional commercial insurers) rather than direct service billing. In 2025, OneCare managed over $500 million in annual hospital fixed payments and distributed a cumulative $3.6 billion to provider organizations since inception. Operations were funded by participating hospital contributions; shared savings were redistributed to participants rather than retained. OneCare announced wind-down in November 2024 and ceased operations at the end of 2025, with Vermont transitioning to the federal AHEAD model (Cohort 2) effective January 1, 2027.

Name

OneCare Vermont

Legal name

OneCare Vermont

Website

https://onecarevt.org

Company type

Private

Founded year

2012

Operating status

Closed

Headcount range

11–50 employees

Short description

OneCare Vermont was a nonprofit accountable care organization founded in 2012 that operated shared ACO infrastructure for over 5,000 Vermont healthcare providers, aggregating multi-payer data and administering value-based payment reforms until ceasing operations at the close of 2025.

Ownership category

akta.pro rank

Product category

Accountable Care Organization Services

NAICS

Ambulatory Health Care Services (621)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF)

akta.pro secondary industry

Care Management & Population Health Program Administration (HLAEALAG)

Keywords

• Accountable care organization
• Value-based care
• Population health management
• Payment reform programs
• Healthcare data analytics

Headquarters

HQ city

Colchester

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure

Revenue model

1. Medicare Shared Savings Program (MSSP): ACO contracts with Medicare that financially incentivize better health outcomes and manage healthcare cost growth through shared savings arrangements
2. Vermont Medicaid Contracts: Contracts with Vermont Medicaid through the Department of Vermont Health Access (DVHA) for hospital fixed payment arrangements and other payment reforms
3. Regional Commercial Insurance Contracts: Contracts with regional commercial insurers expanding beyond Medicare and Medicaid
4. Fixed Payment Arrangements: Hospital fixed payments managed in partnership with DVHA; Medicare fixed payment models for participating hospitals; primary care payments through CPR program at 150% of FFS on average

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels3 records

Core offering

OneCare Vermont is a private nonprofit accountable care organization (ACO) that partners with hospitals, independent practices, and Federally Qualified Health Centers across Vermont to coordinate population health management under value-based care contracts. It provides network performance management, data and analytics support, and operates payment reform programs such as the Comprehensive Payment Reform (CPR) Program and the Hospital Fixed Payment Arrangement on behalf of public and commercial payers.

Product overview

OneCare Vermont was a single unified accountable care organization (ACO) that operated as a shared infrastructure to facilitate and expand ACO participation across Vermont. Rather than a platform-with-modules architecture, the organization offered a coordinated suite of interconnected services: Network Performance Management aligned provider focus and established accountability standards; Data & Analytics Support aggregated payer data for operational insights; and Payment Reform services (including the Hospital Fixed Payment Arrangement and Comprehensive Payment Reform Program) converted fee-for-service reimbursement to fixed payments. These services worked together under ACO contracts to drive quality improvement, cost management, and financial stability for participating providers including hospitals, federally qualified health centers, primary care practices, specialty practices, area agencies on aging, designated agencies for mental health and substance abuse, home health agencies, and skilled nursing facilities.

Differentiator

Problem solved

Functional benefit

Products and services

• Network Performance Management Program that supports participating healthcare providers across Vermont in coordinating care, measuring outcomes, and improving network-wide performance within the ACO.
• Data & Analytics Support Aggregation and analysis of clinical and claims data across OneCare Vermont's provider network, supporting population health management for member hospitals, independent practices, and Federally Qualified Health Centers.
• Comprehensive Payment Reform (CPR) Program Payment reform program operated by OneCare Vermont that restructures how participating providers are reimbursed under value-based care arrangements.
• Hospital Fixed Payment Arrangement Payment arrangement designed and operated by OneCare Vermont that provides participating hospitals with a fixed payment structure in lieu of traditional fee-for-service reimbursement under the ACO.

Quantifiable outcome

• $200 million invested in primary care through All-Payer Model era (2018+)
• +4 more outcomes

Named customers8 records

Segments4 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Five partnerships are on record, tiered core.

• Centers for Medicare and Medicaid Innovation (CMMI)coreStrategic or Co-development Partner · 1 January 2018CMMI partnered with Vermont through the Vermont All-Payer Model demonstration project, enabling OneCare to adapt operational strategies to align with APM goals and become key player in ACO program growth
• Green Mountain Care Board (GMCB)coreStrategic or Co-development Partner · 1 January 2018GMCB partnered with CMMI and State of Vermont on the Vermont All-Payer Model initiative designed to champion and expand ACO participation as a strategy to improve healthcare cost and quality outcomes
• Department of Vermont Health Access (DVHA)coreStrategic or Co-development Partner · 1 January 2017Partnership with DVHA to manage hospital fixed payment arrangement through which lump sum monthly payments were made to OneCare and distributed to participating hospitals
• Dartmouth HealthcoreStrategic or Co-development Partner · 1 January 2012Dartmouth Health partnered with University of Vermont Medical Center to establish OneCare Vermont as shared infrastructure to facilitate and expand ACO participation across the region
• University of Vermont Medical CentercoreStrategic or Co-development Partner · 1 January 2012University of Vermont Medical Center partnered with Dartmouth Health to establish OneCare Vermont as shared infrastructure to facilitate and expand ACO participation across the region

Scale indicators10 records

Recent moves8 records

Expansion highlights3 records

Emerging players

• Arcadia: Arcadia provides healthcare data aggregation and population health analytics to ACOs and provider networks — directly comparable to OneCare's multi-payer data assembly and self-service analytic tooling.
• Pearl Health: Pearl Health enables independent primary care providers to participate in MSSP and ACO REACH via data, analytics, and risk-bearing infrastructure — overlapping with OneCare's CPR program approach.
• Innovaccer: Innovaccer provides a healthcare data platform with population health management and ACO enablement features, paralleling OneCare's payer data aggregation and provider-facing analytic tools.
• Health Catalyst: Health Catalyst offers healthcare data and analytics platforms supporting ACOs, IDNs, and payers — overlapping with OneCare's data aggregation, total-cost-of-care reporting, and ad hoc analytic capabilities.
• Vytalize Health: Vytalize Health enables independent primary care practices to participate in ACO REACH and Medicare Advantage value-based contracts — directly comparable to OneCare's primary care ACO enablement focus.

Direct peers

• Privia Health: Privia operates a national physician network with ACO and value-based care arrangements, offering multi-payer enablement infrastructure analogous to OneCare's data aggregation and payment reform services.
• Evolent Health: Evolent provides value-based care services, population health analytics, and ACO operational support to provider organizations — closely analogous to OneCare's Network Performance Management and Data & Analytics offerings.
• Aledade: Aledade partners with independent primary care practices in ACO arrangements under MSSP and other value-based contracts — directly comparable to OneCare's network model and CPR-style primary care enablement.
• Agilon Health: Agilon Health partners with primary care physicians to take global risk for senior populations via Medicare Advantage, sharing the value-based ACO infrastructure thesis OneCare executed under MSSP.

Broad incumbents

• CVS Health (Oak Street Health): Oak Street Health (acquired by CVS Health) operates value-based senior primary care clinics with full risk arrangements — a broader incumbent executing a related version of OneCare's primary care transformation thesis at national scale.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@UVMHealth
• Facebookfacebook.com/UVMHealth
• LinkedInlinkedin.com/company/8821879
• Xx.com/onecarevermont

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about OneCare Vermont