The state of Maryland, in collaboration with the Centers for Medicare and Medicaid, developed the first all-payer system model in the U.S. in 1971, and some 35 years later in response to financial pressures, modernized this program. The focus of the modernized program was to improve overall per capita expenditure, quality of care, and the outcome of Marylanders’ health.
This study showed positive change in moving its healthcare delivery model from volume-driven care to value-driven coordinated care. Maryland hospitals have changed their mindsets to achieve the Triple Aim of cost reduction, health improvement, and quality of care improvement for the state of Maryland.
Paul, D. P. III, Matsumoto T., Coustasse-Hencke A., Bakhamis, L. M., Harshbarger, M. L. (2016, November). Continuing development of an all payer health care system in Maryland. In J. Hom, (Ed.), Proceedings of the Northeast Business & Economics Association. Paper presented at NBEA 2016: Forty-Third Annual Meeting, West Point, New York November 10-12 (pp. 227-231), 2016.