SIGN OF THE TIMES: Vermont’s independent doctors are signing on to OneCare’s Medicaid agreement in the hopes of driving patients their way.

Gov. Peter Shumlin’s promise that Vermonters can choose to stay in fee-for-service health coverage appears to be an empty one for Medicaid patients.
Almost all of the primary care physicians who are members of HealthFirst, the association for independent providers, have signed onto OneCare’s Medicaid agreement, Dr. Paul Reiss, the group’s chief medical officer, told Friday marks the deadline for independent practices to the deal between the hospital-owned Affordable Care Organization and the federal Centers for Medicaid and Medicare Services.
The move of independent practices — those not affiliated with a hospital — into the agreement marks a shift in the type of care available to Medicaid patients, transitioning away from fee-for-service to a global budget payment model in 2017.
OneCare’s Medicaid agreement …
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Independent doctors joining Medicaid deal could spell end of fee-for-service