Maryland’s All-Payer Model: Surgeons’ Perspectives

Medscape January 9, 2026
Edited by Manasi Talwadekar

TOPLINE:

Surgeons in Maryland reported high awareness of the state’s All-Payer Model, in which public and private insurers pay the same price for hospital procedures to help control costs and improve patient care. They agreed that the model centralized complex care but had limited impact on clinical decision-making.

METHODOLOGY:

• Maryland’s All-Payer Model, launched in 2014, started as a global budget revenue model fixing hospital budgets to improve healthcare outcomes; the model was expanded in 2019 to cover total healthcare spending across all payers.
• Researchers used a convergent mixed-methods design to assess surgeons’ experiences with Maryland’s All-Payer Model, including the global budget revenue and total cost of care initiatives.
• A 23-item survey was distributed through major health systems in Maryland,...

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