Transforming Health Care

Maryland and the Triple Aim

Maryland's hospitals, guided by a five-year agreement with the Centers for Medicare & Medicaid Services, are making progress toward the Triple Aim of health care: to reduce costs, improve the health of communities and improve the experience of care for patients.

Hospitals are able to achieve this by closely monitoring our performance on myriad quality and financial metrics and engaging in performance improvement exercises to bend the curve on cost and quality.

Maryland's hospitals are in the middle of this five-year demonstration period, which Princeton University health care economist Uwe Reinhardt called “the boldest proposal in the United States in the last half century to grab the problem of cost growth by the horns.” While there have been challenges in making such an historic change, the progress is undeniable.

Maryland’s grand experiment is taking place at a time when health care nationwide is in the early stages of a mass migration from volume to value, a time when providers, payers and patients are uniting behind a common purpose: better, less expensive, more navigable care.

 

MHA / HSCRC Webinars on Maryland's Medicare Performance Under the All-Payer Model

MHA staff and Health Services Cost Review Commission (HSCRC) staff began a series of webinars in December 2015 to share Maryland's Medicare performance under the All-Payer model.

Materials from each webinar can be found at the links below.

December 18, 2015
During the first webinar, presenters summarized Maryland's performance in calendar years 2014 and 2015 on the Medicare hospital savings target and the Medicare statewide total cost of care guardrail. 

February 5, 2016
During the second webinar, MHA staff and Health Services Cost Review Commission (HSCRC) staff reviewed the most recent performance under Maryland’s all-payer model. In addition, HSCRC created a cost of care analysis that can be accessed via CRISP. This analysis reflects trends and results published in a tableau format.

March 23, 2016
During the third webinar, MHA Vice President Brett McCone and Health Services Cost Review Commission (HSCRC) staff reviewed the most recent performance under Maryland's all-payer model and examined the underlying data, including the most recent analysis of non-hospital spending.

June 24, 2016
MHA Vice President Brett McCone and Health Services Cost Review Commission (HSCRC) staff hosted an in-person meeting, simulcast via webinar to share Maryland's Medicare performance under the All-Payer model. Speakers at this session reviewed the most recent model performance, including hospital and total spending per Medicare beneficiary.

September 16, 2016
MHA, HSCRC and CRISP hosted a hospital primary service area total cost of care data webinar. The purpose of this session was to briefly review the most recent all-payer model performance, including hospital and total spending per Medicare beneficiary. 

 

Waiver Concept Papers

A key early piece of the implementation of the waiver itself was the submission of "concept papers" that the Health Services Cost Review Commission requested from stakeholders to inform its work. Below are concept papers MHA submitted to the HSCRC.

Gain Sharing under the New All Payer Demonstration Model

Monitoring the Total Costs of Care

Policies for Controlling Volume