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In January 2014, the State of Maryland and the Centers for Medicare and Medicaid Services (CMS) signed a historic agreement that, for the first time on a statewide level, provides the framework of a system that can deliver on the Triple Aim of health care — reducing costs, enhancing quality and patient experience, and improving the health of communities.

The parameters of the agreement include principles upon which all stakeholders agree, the most important being that quality, not quantity, is what matters. The incentives are no longer to treat conditions, but to treat each person as a whole.

This agreement builds on Maryland’s legacy as a health care pioneer. In the late 1970s, the state signed its first deal with the federal government to regulate hospital prices through a statewide commission — an “all-payer” system that helped control costs and ensured parity for those in need of care by ensuring that everyone pays the same price for the same service at the same hospital. Now, Maryland is once again forging a new way forward.

If it is successful, Maryland’s system could serve as a model for the nation. CMS is working closely with Maryland’s hospitals to ensure that the aggressive quality and financial metrics outlined in the agreement are met. The federal agency is doing so with the firm belief that there truly is a way to deliver better health care and reduce costs for all, and that Maryland’s plan may be the roadmap.


Background

Maryland's Triple Aim RoadmapHealth Affairs, By Carmela Coyle

MHA's Waiver Education Series

Hospital leaders and front line caregivers alike are adjusting to “Hospital 2.0” – a new era of care under Maryland’s waiver from the federal government that brings numerous benefits to the state, including a focus on population health, as long as certain financial and quality targets are met. To help you and your team better understand those targets, how we as a field can meet them, and how hospital performance will be measured, the Maryland Hospital Association in 2014 offered a series of monthly educational sessions on topics critical to success under the new waiver. 

Readmissions

Statewide Hospital CEO and CFO Meeting 

Uncompensated Care and FY 2015 Rate Orders 

Prevention Quality Indicators and Potentially Avoidable Utilization: Understanding the Measures and how they can be used to Improve Population Health 

Care Management and Improvement – What’s the Return on Investment?