COVID Updates ​

The HSCRC office is currently closed to visitors and the public.  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.​   ​ ​  

Notice is hereby given that the Commission will be convening in public session on Wednesday, December 08, 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 December 2021 Commission Meeting - December 8, 2021, at 1:00 PM EST:


After registering, you will receive a confirmation email containing information about joining the webinar.



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.


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. ​​