Todd Moore
Todd Moore, the CEO of OneCare Vermont, speaks at a meeting with lawmakers last year. Photo by Erin Mansfield/VTDigger

[O]neCare Vermont Chief Executive Officer Todd Moore is departing at the end of next month for a job at the Minnesota-based Mayo Clinic, administrators announced Friday.

Moore also is leaving his positions as chief executive of New York-based Adirondacks Accountable Care Organizations and senior vice president of accountable care and revenue strategy at the University of Vermont Health Network.

Colchester-based OneCare is the accountable care organization charged with coordinating Vermont’s multiyear all-payer health care payment reform project.

โ€œVermont is leading the way in health care reform, and I am very proud of the progress we have made in a short time to bring the health care system together to improve outcomes for the region,โ€ Moore said in a statement about his impending departure. โ€œI am excited about the opportunity this presents and to share the excellent work and examples from Vermont and New York to another leading health system.โ€

Moore will be working as the Mayo Clinic’s revenue strategy and innovation chair. OneCare said that position will allow Moore โ€œto apply the great work on value-based reforms in Vermont and New York at the Mayo Clinic and be closer to extended family and his roots in the Midwest.โ€

In a statement released by OneCare, Mayo Clinic Chief Finance Officer Dennis Dahlen said the clinic โ€œwill benefit greatly from (Moore’s) considerable experience in leading the revenue strategy for University of Vermont Health Network.โ€

Moore has been OneCare’s chief executive since 2012.

The company, which is a joint venture of University of Vermont Medical Center and Dartmouth-Hitchcock Medical Center, has become the sole accountable care organization coordinating Vermont’s all-payer model.

All-payer, the product of a 2016 agreement between Vermont and the federal government, seeks to move the health care system away from a fee-for-service model and toward predetermined, โ€œvalue-basedโ€ payments that emphasize preventative care and improved outcomes.

Proponents say the all-payer model is a way to control health care costs while offering providers more flexibility and insurers more stability. Critics contend that OneCare is not meeting those goals and represents an additional layer of costly bureaucracy.

Last week, the Green Mountain Care Board endorsed a more than $900 million budget plan for OneCare in 2019, representing significant growth from the current year. Care board members have preached patience, saying the all-payer model requires time to make fundamental changes in the health care system.

In statements issued via OneCare on Friday, Moore received praise for his leadership.

โ€œOver the last 11 years, I have watched Todd manage an increasingly complex and dynamic health care landscape always with the patient and community in mind,โ€ said Dr. John Brumsted, president and chief executive officer of UVM Health Network. โ€œWhile Todd will no longer be at the helm of this effort, our coalition of health care providers and stakeholders that stretches to every corner of Vermont and across the north country of New York will continue this important work.โ€

Kevin Stone, who chairs OneCare’s board of managers, said the state โ€œhas achieved a tremendous level of connection among hospitals, home health care providers, primary care, mental health providers and community based providers.โ€

โ€œUnder Toddโ€™s leadership, we have implemented some of the most advanced payment reforms in the country, and we plan to continue implementing strategies to achieve the aim of the all-payer model,โ€ Stone said.

OneCare said it will name interim leadership early in January. Moore is expected to stay in his role โ€œfor several more weeks to support the implementation of a smooth transition,โ€ the company said.

Twitter: @MikeFaher. Mike Faher reports on health care and Vermont Yankee for VTDigger. Faher has worked as a daily newspaper journalist for 19 years, most recently as lead reporter at the Brattleboro...