COVID Updates
The HSCRC office is currently closed to visitors and the public. All workgroup and public meetings will be held remotely unless otherwise noted. For further information and HSCRC communications on COVID-19, please visit the
HSCRC COVID-19 website.
Adjustments to Maryland's Medicare TCOC PerformanceStaff is receiving written comments on the Draft Recommendation on Adjustments to Maryland's Medicare Total Cost of Care Performance through December 1, 2022. Letters should be sent to Matisia.Jones2@maryland.gov.
CMMI-HSCRC Stakeholder Webinar
On Friday, November 18, HSCRC and CMMI hosted a webinar to discuss Maryland’s Total Cost of Care Model in the context of CMMI’s national priorities, including health equity. Representatives from Maryland presented on behavioral health, primary care, population health, and other topics.
A recording and webinar materials can be found here.
TCOC Model Progression
Stakeholder Announcement
HSCRC and other State staff are planning stakeholder engagement meetings to contribute content towards a progression plan for the expansion of the Total Cost of Care Model (or a new Model) beyond 2026. A series of small group meetings will be held on priority topics through April 2023. After this period, the plan will be presented to the Center for Medicare & Medicaid Innovation (CMMI) in late 2023 ahead of the negotiation process on the future of the Model. More information can be found
here.
HSCRC
Overview
The State of Maryland is leading a transformative effort to improve care and reduce the growth in healthcare spending. On January 1, 2014, the State of Maryland and the Centers for Medicare & Medicaid Services (CMS) entered into a new initiative to modernize Maryland’s unique all-payer rate-setting system for hospital services. As the State’s hospital rate-setting authority, the HSCRC plays a vital role in the implementation of this innovative approach to health reform.
This initiative replaced Maryland’s 36-year-old Medicare waiver and allowed Maryland to adopt new and innovative policies aimed at reducing per capita hospital expenditures and improving patient health outcomes. The All-Payer Model successfully reduced costs to purchasers of care—businesses, patients, insurers, Medicare, and Medicaid—and began to improve the quality of the care that patients receive both inside and outside of the hospital. Since 2014, the State, in close partnership with providers, payers, and consumers, has made significant progress toward this modernization effort.
Under the new “Total Cost of Care Model,” which began in January 2019 and builds upon the successes of the All-Payer Model, Maryland will progressively transform care delivery across the health care system with the objective of improving health and quality of care. At the same time, the State's growth in Medicare spending must be maintained lower than the national growth rate. The Total Cost of Care Model will give the State flexibility to tailor initiatives to the Maryland health care context, and encourage providers to drive health care innovation. The Total Cost of Care Model encourages continued Care Redesign, and provides new tools and resources for primary care providers to better meet the needs of patients with complex and chronic conditions and help Marylanders achieve better health status overall. Terms of the agreement can be found
here, and additional details on the Model can be found on the
Modernization tab.
Help Stop Fraud in State Government
The Maryland General Assembly’s Office of Legislative Audits operates a toll-free fraud hotline to receive allegations of fraud and/or abuse of State government resources. Information reported to the hotline in the past has helped to eliminate certain fraudulent activities and protect State resources.
More information can be found here.
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