Here’s what you should know.
1. Maryland converted to the all-payer model from a traditional fee-for-service model.
2. As the state begins it fourth year, Maryland is meeting or exceeding all CMS requirements.
3. Throughout Maryland regional partnerships formed to provide “preventive services, chronic care management, and other care supports for high needs patients, and organizing care management approaches across larger geographic areas.”
The state also invested in public/private partnerships in an attempt to expand infrastructure.
4. The state’s spending per Medicare beneficiary has slowed, but continues to rise.
5. It’s estimated Maryland hospitals have saved approximately $429 million to date.
6. Concerning key quality indicators, Maryland hospitals exceeded a variety of goals. The hospitals have reduced potentially preventable complications by 48 percent and lowered their readmission rate from 7.9 percent to 3.4 percent from 2013 to 2016.
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Medicaid spending totals $575.9B in 2016 — 9 key points
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