MDH HSCRC Draft Progression Plan for Public Comment 

The State of Maryland is more committed than ever to achieving better care, better health, and moderated cost growth through our groundbreaking and innovative Maryland model. Maryland, under agreement with the Centers for Medicare & Medicaid Services (CMS), launched the All-Payer Model in 2014 to transform the health care delivery system and accomplish these goals. The All-Payer Model is changing the way Maryland hospitals provide care, shifting from a financing system based on volume of services to a system of hospital-specific global revenues and value-based incentives. While still in the early stages of transformation, Maryland has already achieved success in improving care and limiting hospital cost growth. 

The All-Payer Model Agreement between CMS and the State of Maryland calls for Maryland to submit its plans to extend the All-Payer Model by December 31, 2016. This next iteration of the All-Payer Model must limit the growth in total cost of care for Medicare beneficiaries in a second term that will begin on January 1, 2019. With this draft of the “Progression Plan” document, Maryland outlines its proposal to accomplish the expanded system-wide goals and address the State’s goal of including the Medicaid costs for Medicare beneficiaries who are also covered by Medicaid. 

We will be accepting comments from stakeholders and the general public from now through December 2nd, 2016. Please send your comments and questions to 

After considering these comments, Maryland will submit a plan to CMS by December 31, 2016. 

Thank you for all of your support and input into this important planning for Maryland. We appreciate your input and look forward to receiving your feedback.

        - Maryland Department of Health (MDH) and Health Services Cost Review Commission (HSCRC)