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One-Time Funding in Support of the Vermont All-Payer ACO Model

CENTERS FOR MEDICARE AND MEDICAID SERVICES, HEALTH AND HUMAN SERVICES, DEPARTMENT OF

Opportunity #: 93.961

Award Ceiling
N/A
Award Floor
N/A
Close Date
N/A
Total Funding
N/A
Cost Sharing Required
No
Grants.gov ID
usa-93.961

Description

The purpose of this single source funding opportunity for the One-Time Funding in Support of Vermont�s All-Payer ACO Model (�Model�) cooperative agreement is to provide Vermont with the start-up costs of the Model to assist Vermont in accomplishing the health outcomes, financial, and ACO scale targets required of Vermont under the Model. A single-source award to the Agency for Human Services will enable CMS to expeditiously provide assistance to Vermont for the following specific activities: connect Medicare Fee-for-Service beneficiaries with community-based resources, coordinate transitions across care settings with appropriate involvement of the Medicare Fee-for-Service beneficiary�s primary care provider, coordinate care across providers, support health promotion and self-management by Medicare Fee-for-Service beneficiaries, and support practice improvement and transformation. These activities are necessary for Vermont to achieve the goals of the Model. We note that the other components of the Model (e.g., Vermont-specific Medicare ACO initiative and statewide health outcomes, financial, and ACO scale targets) are governed by a separate State Agreement into which Vermont and CMS have entered.

Types of Assistance: COOPERATIVE AGREEMENTS

Eligible Applicants

This single source funding opportunity provides Vermont with the necessary start-costs of the Model and is open to Vermont�s Agency for Human Services (�Agency�). The Agency is uniquely positioned to meet the objectives of this funding opportunity based on its existing knowledge of the Model, its regulatory authority over healthcare in Vermont and its role in administering the Vermont All-payer ACO Model, its existing partnerships and collaborations with Vermont providers, and its resources and ability to deploy the funding immediately. � Knowledge of the Model: the Agency is intimately familiar with the objectives of the Model. The Agency was a key member of the discussions between Vermont and CMS during the development of the Model; the Agency�s Secretary and staff dedicated significant time, energy, and resources over the past year in partnering with CMS to establish the Model�s financial, health outcomes, and ACO scale targets. This existing familiarity and knowledge of the Model will help the Agency to expediently deploy the upfront investment in the Model offered under this funding opportunity announcement. � Authority and role in administering the Model: The Agency is responsible for ensuring that changes in Vermont�s health system improve the conditions and well-being of Vermonters. The Agency has broad Vermont healthcare authority to improve the health of Vermonters and control the rate of growth in healthcare costs. Additionally, the Agency is a signatory to the Vermont All-payer ACO Model�s State Agreement and will be supporting the State in achieving its obligations under the State Agreement. The Agency can effectively complement this funding opportunity with its existing authority and role in administering the Model to ensure the funding is effectively used in achieving the Model�s goals. � Existing partnership and collaboration: The Agency is located in Vermont and has existing relationships and a history of collaboration with Vermont providers and community-based resources that would benefit from this funding opportunity. The Agency has also been working with these stakeholders for their input through the development of the Model. � Resources and ability to implement immediately: The Agency has the staff to implement this award immediately to support providers engaging in care coordination and linking beneficiaries to community-based resources.

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