Of course, as Vermont seeks to create a more ambitious program covering a broader range of payments to providers, the challenge of structuring it correctly will be increased as payments will have to account for varying services for differing patient populations. Under the Vermont program, the state will limit per capita expenditure growth for all major payers to 3.5 percent, with Medicare growth limited to levels below those of national Medicare growth projections. Thus far, emergency physician participation in ACOs has been limited, and the impact of this new system on emergency medicine in Vermont remains unclear.
Explore This IssueACEP Now: Vol 36 – No 01 – January 2017
Dr. Haddock is chair of the ACEP State Legislative/Regulatory Committee. Mr. Monroe is director of chapter and state relations at ACEP.