Too Big To Fail?

Three years ago Vermont started an experiment to try to improve the quality of health care and to lower costs. A for-profit entity called One Care was created and, from the start, the organization’s complexity and lack of transparency has been an issue.

Those problems surfaced in a recent public hearing before the Green Mountain Care Board, the entity that has regulatory control over One Care. One Care is proposing a budget of $1.43 billion. Those funds come from insurers such as Medicare and Medicaid and private insurers and are then funneled directly to hospitals and providers.