OneCare releases quality measure scores for performance year 2019

Vermont Business Magazine OneCare Vermont is announcing all available quality measure scores for Performance Year 2019. As an Accountable Care Organization (ACO), OneCare is accountable for both the quality and cost of health care for attributed Vermonters and is committed to supporting providers as they work to reach quality targets.

Each year, health care organizations and providers in the ACO work to meet specific quality measures. Quality measures help OneCare assess health care processes, outcomes, and patient perceptions linked to high-quality health care delivery.

OneCare measures quality in four areas defined by the Centers for Medicare and Medicare Services: preventive health, patient/caregiver experience, care coordination/patient safety, and at-risk populations.

In Vermont, OneCare is the vehicle for health care reform under the State’s All Payer Model, working with Medicaid, Medicare, and commercial insurance carriers to control costs and improve health outcomes. Quality measures are collected after each Performance Year and scored using national benchmarks and historical performance. Quality scores are measured separately for each payer program.

For the Vermont Medicaid Next Generation program, OneCare received a score of 95%, earning 19 of the 20 available points. OneCare received four bonus points for achieving statistically significant improvement in the following measures:

• 30 Day Follow-Up after Discharge from the ED for Alcohol and Other Drug Abuse or Dependence (moving from the 75th to the 90th percentile)
• Developmental Screening in the First 3 Years of Life
• Diabetes Mellitus: Hemoglobin A1c Poor Control (>9%) (moving from the 50th to the 90th percentile)
• Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (moving from the 50th to the 75th percentile)

For the Blue Cross Blue Shield of Vermont Qualified Health Plan (BCBSVT QHP), OneCare received a score of 81%, earning 14.5 of 18 available points on a challenging set of quality measures. OneCare received two bonus points for achieving statistically significant improvement in the following measures:

• Hypertension: Controlling High Blood Pressure
• Diabetes Mellitus: Hemoglobin A1c Poor Control (>9%)

Quality Scores for the Medicare 2019 performance year will be released by the Centers for Medicare and Medicaid Services later this year.

Read more about OneCare’s quality activities and results here: https://www.onecarevt.org/aco-results/

Read our blog post about OneCare’s 2019 quality results here: https://www.onecarevt.org/quality-2019/

About OneCare Vermont
OneCare Vermont is a provider-led Accountable Care Organization working to improve the health of Vermonters and lower health care costs. OneCare partners with health insurance companies, hospitals, independent medical practices, and community collaborators to offer programs that pay for positive outcomes and health care activities. OneCare gives doctors and other providers access to data, resources, and tools to improve patient health. Health care providers participating in OneCare pool resources and expertise to help Vermonters become healthier and stay healthier, and focus on improving access to primary care, reducing deaths from suicide and drug overdose, and managing chronic illnesses. By sharing information and working together, providers can do even more to deliver the best care to patients.