Links of Interest
Approved Policies and Reports
Maryland Hospital Acquired Conditions
Readmission Reduction Incentive Program
Quality Based Reimbursement
Maryland Patient Safety Center
GBR-PAU Efficiency Adjustment
PAU Savings Policy
Archived Quality Initiatives
GBR Agreements and Addendums
Annual Update to Unit Rates
Accounting and Budget Manual
Policy Clarifications & Regulation Updates
Approved Hospital Unit Rate Reports
Clinical Data Submission and Requirements
Clinical Public Use Data Requests
Financial Data Submission Tool
Maryland Hospital Audited Financial Statements
Nurse Support Programs I & II
Outpatient Services Survey Results
Hospital IRS 990 Forms
Annual Report of Revenue, Expenses, and Volumes
Community Benefit Program
Trustee Disclosure Information
Notice is hereby given that the Commission will be convening in
public session on Wednesday, May 12, at 11:30 a.m. for the purpose of moving
into Executive Session to discuss the following items: Discussion on
Planning for Model Progression, update on Administration of Model, and update
on Commission Response to COVID-19 Pandemic.
You may dial into this public
session by calling the following number: 1 617-675-4444 PIN: 737 264 465 0280#
HSCRC Commission Meeting
Please register for HSCRC May 2021 Commission Meeting - May 12,
2021, at 1:00 PM EDT:
After registering, you will receive a confirmation email
containing information about joining the webinar.
HEALTH SERVICES COST REVIEW
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.
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Phone: 410.764.2605 | Fax: 410.358.6217