Evaluation of the Maryland Total Cost of Care Model: Quantitative Only Report for the Model’s First Three Years (2019 to 2021): Findings at a Glance

This findings at a glance provides a brief overview of the impacts from the first three years of the Maryland Total Cost of Care Model (MD TCOC). The MD TCOC Model is part of an evolving Maryland Model that began in 2014 with the Maryland All-Payer Model (MDAPM), which introduced all-payer global budgets for hospitals in the state. With the start of the MD TCOC period in 2019, the state took on increasing responsibility for cost and quality—committing to $2 billion in Medicare savings over 8 years and meeting population health goals. The state and the Centers for Medicare & Medicaid Services also broadened incentives and supports to engage a wide range of providers in care transformation.