Maryland’s All-Payer Model Saves Medicare Nearly $1 Billion

State’s new Total Cost of Care Model addresses limitations in All-Payer Model by continuing efforts to engage nonhospital providers

The final report is in on the first five years of Maryland’s All-Payer Model for hospitals, and the results are impressive. Medicare beneficiaries had 2.8 percent slower growth in total expenditures ($975 million in savings) during the Maryland All-Payer Model relative to a comparison group, largely driven by 4.1 percent slower growth in total hospital expenditures, according to the report from RTI International. Slower growth in emergency department expenditures (30.6 percent) and other hospital expenditures (17.2 percent) drove total Medicare hospital savings in Maryland.

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