Gerry Silverstein: All-payer ACO model: strengths and weaknesses

Editor’s note: This commentary is by Gerry Silverstein, of South Burlington, who has interests in individual, community and global health.
The Vermont All-Payer Accountable Care Organization Model is a new health care delivery and insurance program whose stated goals are to improve access to and outcomes of health care in Vermont and to reduce the rate of growth of annual health care spending to 3.5 percent or less (nationally health care is growing at an annual rate of 5.6 percent). It is