Project Overview
To determine whether the Maryland Total Cost of Care Model improves quality of care and health outcomes throughout the state while reducing Medicare costs.
With the Maryland Total Cost of Care Model, the state of Maryland and the Centers for Medicare & Medicaid Services (CMS) are testing whether statewide accountability for cost and quality outcomes—combined with incentives and supports for a wide range of providers to engage in care transformation—can improve health outcomes and reduce Medicare spending. CMS contracted with Mathematica to provide a rigorous, independent assessment of the implementation of the model and its impacts on targeted outcomes.
U.S. Department of Health and Human Services, Center for Medicare & Medicaid Innovation
The goal of the evaluation is to determine whether the MD TCOC Model meets it goals to reduce Medicare spending and improve beneficiary health. This evaluation uses a mixed-methods design to describe model design and implementation, and quasi-experimental design to estimate the impact of the model on key outcomes.
Evidence & Insights From This Project

Evaluation of the Maryland Total Cost of Care Model: Progress Report
This is a report on the Maryland Total Cost of Care Model, which tests whether state accountability for health care costs, quality, and population health—along with aligned provider incentives and supports—can improve health outcomes for all Marylanders while reducing Medicare spending.
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