Vermont All-Payer Accountable Care Organization Model Agreement: History and ContextVermont All-Payer Accountable Care Organization Model Agreement • January 22nd, 2019
Contract Type FiledJanuary 22nd, 2019Problem Strategy Intervention Result Increase accessto insurance for people who need it most. Remove knownbarriers to access. Eliminate adverse selection, i.e. lack of coverage for pre-existing conditions. Change stateor federal law to prohibit adverse selection. ACA eliminated adverse selection across all states in 2010. Adverse selection isnot allowed. People with serious illnesses are not discriminated against in purchasing insurance. Access is improved if coverage is affordable. Reduce the rate of uninsured. Require people to have health insurance or pay a tax. Change state or federal law to require insurance.ACA created this mechanism, no longer enforced. Reduced the rate of uninsured in tandem with other interventions.