"The success of health care reform depends on transforming into a more effective, efficient health care system," Shumlin said in a statement. "We need our health care providers to lead this effort. The OneCare ACO is a great example of how health care providers can step up to the challenge, and government can support them."
But when hospital executives Brumsted and Todd Moore, a Fletcher Allen vice president who will serve as CEO of OneCare, unveiled their plans to a Vermont Senate Committee, they got some tough questions from lawmakers.
Some members of the committee wanted to know whether any of the cost savings it's hoped the ACO will achieve will go back to patients in the form of lower health care premiums or co-pays. Others questioned whether the statewide reach would lead to a health care monopoly in Vermont.
Brumsted and Dr. John Butterly, executive medical director at Dartmouth, said both their institutions are non-profits that are always trying to provide the most affordable care they can.