Transforming Health Care

Maryland Leading Care Delivery Transformation

Maryland’s hospitals, under the state’s unique health care system — the Total Cost of Care Model — are on the leading edge of care delivery transformation. Hospitals and health care providers continue to hold down health care cost increases and improve quality for patients. Data from the Health Services Cost Review Commission (HSCRC) and Maryland Department of Health show that on metrics the model measures –– hospital spending growth, statewide health care spending, readmissions, and hospital-acquired infections and complications – hospitals are meeting or exceeding the high bars set by the model and its predecessor, the All-Payer Model.

All of these efforts are aimed at improving the health of entire communities and working to get Marylanders the right care, at the right time, in the right setting.

 

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