Maryland: The first state CMS will hold fully at risk for total healthcare costs

Becker's Healthcare June 13, 2018
Morgan Haefner

CMS’ Innovation Center revealed June 8 that Maryland will become the first state fully at risk for the total cost of healthcare for Medicare beneficiaries.

Here are five things to know about the Maryland Total Cost of Care Model:

1. The model sets a per capita limit on the total cost of care Medicare beneficiaries receive in Maryland. It is founded on Maryland’s current all-payer model, launched in 2014, which limits the state’s per capita hospital expenses.

2, The performance period of the TCOC Model begins Jan. 1, 2019, and runs through Dec. 31, 2026.

3. The Maryland TCOC Model aims to save $1 billion-plus on Medicare beneficiaries’ care by the end of 2023, the model’s fifth performance...

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