Hospital Rate Setting

Beginning in January 2014, coincident with the introduction of the new All-Payer Model, HSCRC rate setting transitioned from a charge per case system to one based on global budgets. This global budget revenue (GBR) system better rewards efficiency, supports population health, and helps achieve better health care, better outcomes, and lower costs for Marylanders. As of March 1, 2017, approximately 98% of hospital revenues in the State of Maryland are managed under a global budget. HSCRC’s Center for Revenue Regulation and Compliance assumes various roles within the HSCRC including but not limited to:

  • Developing revenue budgets and setting rates that are reasonable for Maryland hospitals
  • Developing reporting requirements
  • Monitoring compliance
  • Monitoring market shift and shifts to unregulated
  • Managing assessment funds
  • Conducting audits
  • Evaluating rate applications

*Full Rate Review Procedures Template - Revised Jan. 22, 201​9