With the expiration of OneCare Vermont at the end of 2025, Southwestern Vermont Medical Center (SVMC) transitioned to a new partnership with Belong Health to participate in the Centers for Medicare and Medicaid Services Medicare Shared Savings Program (MSSP). Through MSSP, Medicare brings together providers in Accountable Care Organizations to offer eligible patients additional coordinated care and services to help them stay as healthy as possible.
Below are some frequently asked questions about this partnership and its benefits to our patients.
What is an ACO?
An ACO, or "accountable care organization," is a team of doctors, hospitals and other healthcare providers who work together to coordinate care for patients. ACOs have agreed with Medicare to be accountable for care quality and cost. They were created to help patients have a better care experience.
Is an ACO model new to SVMC?
No, SVMC previously participated in an ACO through OneCare Vermont. With the closure of that program, SVMC partnered with Belong Health's ACO. All SVMC providers, practice sites and departments are part of the ACO.
How will you benefit from SVMC's participation in an ACO?
We will help you get the right care at the right time. Healthcare can be confusing. We have a care team who will work with you on your care. Our team may:
- Help you know what care you need to have next.
- Help you set up appointments.
- Help increase access to healthcare providers, both in-person and online.
- Make sure you only have the tests and appointments you need.
- Connect you with local services or support you may need.
- Make sure your medications are safe to take together.
- Spot health problems before they become serious.
- Answer any questions you have about your care.
What changes to my health care should I expect to see as a member of the ACO?
In addition to your regular health care providers, you may have access to care coordination services. Our care team will work with you to manage your health conditions and get the services you need. Team members may connect you with health care appointments and local resources as well. They can also help you understand and use your benefits.
If I join the ACO, will I still be able to choose my health care providers, including specialists?
Yes. You will still be able to see your primary care provider and other providers of your choice, including specialists. Joining the ACO will not restrict your physician network. The Medicare Shared Savings Program does not replace your Medicare or in any way change your Medicare benefits. You can choose or change your main doctor any time.
Will joining the ACO cost me anything?
There is no cost to you, your Medicare benefits will not change, and you can visit any health care provider or hospital that accepts Medicare.
If I do not join the ACO, will I still be able to see my SVMC primary care provider?
Yes. You will still be able to see your primary care provider, whether or not you join the ACO.
What if I join the ACO and decide later that I do not want to participate anymore?
If you join and decide later that you want to opt out, contact Belong Health ACO at 800-862-0608, or call Medicare at 800-MEDICARE (800-633-4227). TTY users should call 877-486-2048.
What is the Medicare Shared Savings Program?
The Medicare Shared Savings Program is a Medicare initiative that partners with health systems, clinics and providers to provide coordinated care management and healthcare navigation assistance for Medicare patients. The program is one of Medicare's innovative models aimed at keeping patients as healthy as possible through a value-based care approach.
How do I participate in the Medicare Shared Savings Program?
If you've been seeing your SVMC primary care provider regularly, you are likely already assigned to the ACO based on where you receive most of your care. There is no enrollment form or action needed on your part. Medicare automatically assigns beneficiaries to ACOs based on where they receive their primary care services.
Questions?
For questions about how the Medicare Shared Savings Program helps your health, contact your health care professional.
Click here to learn more about the Medicare Shared Savings Program.