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Independent primary‑care leaders warn of 2026 funding gap as OneCare winds down, AHEAD delayed
Summary
Leaders from Primary Care Health Partners told the Senate Health & Welfare committee that the end of OneCare Vermont and a delayed CMS AHEAD start risk cuts to services and clinic closures in 2026 without state or other funding to replace ACO‑backed payments.
Leaders of an independent Vermont primary‑care group told the Senate Committee on Health & Welfare that the end of OneCare Vermont and a delayed federal AHEAD model create a looming funding gap in 2026 that could force offices to cut services or close.
Toby Sadkin, a family physician and chair of Primary Care Health Partners, said the group — “the largest physician owned independent primary care group in Vermont” — cares for “over 30,000 Vermonters” from 10 office sites with 23 physician partner owners and about 200 employees. He told the committee the practices were stabilized by OneCare’s comprehensive payment reform program and related population‑health investments and are at risk without…
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