The administrative costs of running OneCare Vermont, the company that enacts statewide health care reforms, are greater than the Medicaid savings that are credited to its efforts, according to a report issued Monday by State Auditor Doug Hoffer.

The 38-page document, which looks at the operating expenses associated with the state’s all-payer health care system, shows that from 2017 to 2019, OneCare failed to meet Medicaid financial targets by a combined $11.1 million.

During that same time frame, the state — through the Department of Vermont Health Access — spent $14.5 million on OneCare to run Vermont’s all-payer health care model.

“Put simply, at this time the financial costs to run the model significantly exceed any Medicaid savings attributed to it,” Hoffer wrote in a letter accompanying the report. continue reading