Vermont well being program decreased hospital stays, saved cash

The first two years of a Vermont program designed to keep patients healthy while cutting costs saved Medicare patients money and kept more people out of the hospital, an evaluation of the program found.

Commissioned by the Centers for Medicaid and Medicare Services and released this week, the report looked at the first two years of Medicare’s participation in Vermont’s so-called all-payer model of health care.

the report found that in 2018 and 2019, Medicare patient costs were saved about 4.7% year over year in the system under study. For all Medicare patients in Vermont, the system saved about 6.5% year over year.

In 2019, the system reduced the acute hospital stays of people in the system by almost 18%, it reduced the acute treatment days of patients in the hospital by 14.7% and the number of people re-admitted to hospital within 30 days by 12, 4%.

“These declines are very encouraging,” said Ena Backus, director of health care reform in Vermont, on Friday.

The same report found that the project run by the OneCare Vermont organization did not enroll as many people to join the system as hoped. In 2019, it was hoped the program would cover 75% of eligible Medicare patients, but it only hit 47%.

Vicki Loner, CEO of OneCare, said the overall results are encouraging.

“We still have a long way to go to fully realize the (all-payer) vision, but we are on the right track and we must continue to make steady progress for the people of Vermont.”

The report covers 2018 and 2019, the first two years of the five-year program.

The goal of the total pay model is to maintain patient health while reducing healthcare costs by paying a fixed amount of money for each insured patient rather than for every service provided.

To achieve this goal, medical providers, and in some cases social workers, work closely with patients to ensure they are receiving the best possible care.

The report commissioned by CMS from an organization affiliated with the University of Chicago looked only at the Medicare population of Vermont participating in the all-payer model. It also looked at the impact of the system on Vermont’s Medicare program as a whole.

Medicare is the state health insurance for people over the age of 65.

According to the report, the system provides an important, unifying forum for providers, payers and the state to work towards health reform.

“The widespread transformation of long-term care will take time,” the report says.

OneCare also works with Medicaid, an insurance company for low-income Americans, and some of the patients privately insured through the Blue Cross Blue Shield of Vermont.

Future reports will look at the performance of both Medicaid and private insurance companies, Backus said.

The five-year program is slated to run through 2022, but Backus said Vermont officials will request an extension of the program to 2023 by the end of this year.

Earlier this year, Vermont auditor Doug Hoffer released a report that found OneCare missed its Medicaid financial targets by $ 25.6 million between 2017 and 2019.

King Road Cove Begins Providing Dwell Leisure at Decreased Capability | Enterprise

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After nearly a year of closure, the King Street Cove performance center in Centralia was alive last Thursday with the music of local musicians as the cove is 25% busy, according to state entertainment restrictions.

King Street Cove’s owner Jamie Kaiser bought the former synagogue, which was built in the 1930s, with the aim of restoring the old building and creating a place for local musicians to showcase their talents.

The entertainment venue provides musicians with a place to perform with quality sound and lighting equipment.

“My real passion is supporting musicians, so I do sound and light. They spend their entire lives sitting on the edge of the bed and practicing, and I believe my goal is to honor them for the practice and the dedication they have put in, “Kaiser said.

Renovations to the music venues were completed in late 2019 to early 2020, but the bay had to close shortly afterwards due to the COVID-19 pandemic.

“Last week we had about 22 people here and it was great … it’s kind of an open mic until we get some steam,” Kaiser said.

There are many professional musicians who have chosen King Street Cove because it’s a place that is much more conducive to live performance than a bar environment, Kaiser said.

“When you’re trying to sing a song that you wrote and there are darts and pool tables, people screaming and playing soccer games, we’re trying to create a nice music environment where people can sit back and enjoy and have a glass of it can wine, ”said Kaiser.

Kaiser is getting on the shows as COVID-19 restrictions allow and hopes to have live entertainment on Thursdays, Fridays and Saturdays and to show movies on Sundays.

There is no fee for the Thursday night shows, but there is a donation box to support the musicians.

Tickets will go on sale when the bay is full of concerts.

“I like it when people show their talents, whatever they are – poetry, reading or singing. We had people come and paint pictures while people sing, just to show their art, ”Kaiser said.

King Street Cove seats approximately 150 people upstairs at full capacity. There is also a cafe on the ground floor that serves drinks during the shows. The cafe will eventually serve food as COVID-19 restrictions relax and proper approvals from the Department of Health are sought.

Kaiser said the bay is always open to partnering with the Fox Theater for entertainment. The two venues joined forces late last year to host live streaming concerts in support of local entertainment professionals, but had to postpone the event due to stricter COVID-19 restrictions put in place in December.

Scott Stolarz, executive director of the Fox Theater, said the live streaming concerts will be postponed for some time in March.

“The aim of these live streaming concerts is to support the creative industries and give musicians the opportunity to perform and to supplement some of the loss of income from the shows that did not take place last year,” said Stolarz.

More information on the upcoming live streaming concerts will be announced early next week, Stolarz said. King Street Cove will continue to host open mic events on Thursday evening at 7 p.m. and will post announcements of additional events on their Facebook page @kingstreetcoveWA.

King Street Cove is located at 200 S. King St. in Centralia.