COVID Updates 
In response to the Governor's declared State of Emergency, the HSCRC office will be closed to visitors/public until further notice.  All workgroup and public meetings will be held remotely until further notice. 

For further information and HSCRC communications on COVID-19, please visit the HSCRC COVID-19 website.​  


Public Comment Updates

The deadlines for written comments on the below draft Commission recommendations have been updated:
Draft Recommendation on MHAC Program for RY 2023 - 10/21/2020 (unchanged)
Draft Recommendation on Regional Partnership Catalyst Grant Program Awards - 10/28/2020
Draft Recommendation on the Integrated Efficiency Component - 11/6/2020
Draft Recommendation on the Medicare Performance Adjustment for RY 2022 - 11/6/2020

 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. ​​​​​​​​​​​​​​​​​​​​​​​​​​​


Contact Us

If you have questions for us please let us know. We strive to provide the best possible customer service. We would also ask that if you have any suggestions about how we can do better please let us know as well. ​