Dashboard Health MD Performance on All-payer Requirements - General Assembly of Maryland Department of Legislative Services

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Summary

In January 2014, Maryland replaced its historic Medicare waiver that governed hospital rate-setting with the Maryland All-payer Model (APM) contract. Building on those changes, effective January 1, 2019, the State entered a new Total Cost of Care Model (TCOC) that is intended to progressively transform care delivery across the health care system with the objective of improving health and quality of care while containing costs.

This dashboard displays performance measures under the former APM with those under TCOC. Under TCOC, Maryland commits to reaching a compounded annual Medicare savings target of $300 million through the end of calendar 2023.

The dashboard also shows Maryland’s savings targets under TCOC. Based on the current savings requirements of the base model, APM and TCOC are estimated to result in cumulative savings to Medicare of $1.664 billion by the end of calendar 2023. Net TCOC savings are estimated to be $1.065 billion.

Maryland's Transition to Total Cost of Care Model