Document Type

Conference Proceeding

Publication Date

Fall 11-10-2016


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.


This paper was presented at the 43rd Annual Meeting of the Northeast Business & Economics Association, West Point, New York November 10-12, 2016.