The Vermont state auditor offered a rebuke of the state’s health care regulators Tuesday, and called for greater transparency and accountability for the state’s all-payer health care system.

70-page report released Tuesday by State Auditor Doug Hoffer recommended that the Green Mountain Care Board improve tracking quality metrics and administrative costs for OneCare Vermont, the company that enacts Vermont’s reform efforts.

The Care Board doesn’t have enough data currently to know whether Vermont’s health care experiment is working well, Hoffer said in an interview.

“I’m not saying that the model is bad in and of itself, I’m just not convinced that the monitoring and oversight is as rigorous as it needs to be,” the auditor said.

Hoffer criticized Green Mountain Care Board Chair Kevin Mullin for not responding to his recommendations and said the Care Board is not providing effective oversight.

“I am concerned that the Board in its dual roles as health care reformer and regulator is not taking the latter role as seriously as the former,” Hoffer wrote in his letter.

Mullin defended the work of the Green Mountain Care Board, calling OneCare Vermont “the most highly regulated ACO in the country.” continue reading