Maryland Submits Proposal
to Modernize All-Payer System
11, 2013, Governor Martin O’Malley submitted a proposal to modernize Maryland’s
all-payer hospital system. Read the
the only state with an all-payer system of hospital finance, which is overseen
by the Health Services Cost Review Commission (HSCRC). Maryland is pursuing efforts to modernize this
system to enhance patient experience, improve outcomes, and lower health care
costs. This requires a model proposal to be accepted by the Center for Medicare
and Medicare Services (CMS) in the U.S. Department of Health and Human
testimony from Secretary Joshua Sharfstein and HSCRC Chairman John Colmers
explaining the modernization process here.
state's initial model proposal here.
state’s revised model proposal here.
received from organizations in Maryland are available here. Response to comments is available here.
To date, the
Department and HSCRC leadership have held more than 50 meetings with
stakeholders on the waiver application. The public engagement process will
continue and broaden as we move closer to a final submission. On April 23, 2013, Secretary Sharfstein wrote
to leaders of the General Assembly explaining the public engagement approach
planned for the finalization of the waiver application.
In late September 2013, the Department posted a revised model proposal for public comment. Comments from
Maryland organizations are available here and a response to comments is