Maryland Resources
Evaluation of the Maryland Total Cost of Care Model: Progress Report
Provides an overview of the Maryland Total Cost of Care Model and evaluates the first four years of the program, 2019-2022. Explores the effects of the model on Medicare spending; service use, including preventable hospital use; and healthcare quality measures. Estimates the potential impact of switching Maryland to the Medicare prospective payment system (PPS) on Medicare spending and service use, including implications for rural and safety net hospitals.
Additional links: Appendices, Findings at a Glance, Transformation Spotlight
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Provides an overview of the Maryland Total Cost of Care Model and evaluates the first four years of the program, 2019-2022. Explores the effects of the model on Medicare spending; service use, including preventable hospital use; and healthcare quality measures. Estimates the potential impact of switching Maryland to the Medicare prospective payment system (PPS) on Medicare spending and service use, including implications for rural and safety net hospitals.
Additional links: Appendices, Findings at a Glance, Transformation Spotlight
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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What States Can Learn from Maryland's Experience with Hospital Global Budgeting
Podcast episode exploring lessons learned from Maryland's hospital global budgeting model. Includes a discussion on small and rural hospitals' financial sustainability and their involvement in the model, as well as comparisons to the Pennsylvania Rural Health Model and the Vermont All-Payer Accountable Care Organization (ACO) Model.
Date: 01/2024
Sponsoring organization: Mathematica
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Podcast episode exploring lessons learned from Maryland's hospital global budgeting model. Includes a discussion on small and rural hospitals' financial sustainability and their involvement in the model, as well as comparisons to the Pennsylvania Rural Health Model and the Vermont All-Payer Accountable Care Organization (ACO) Model.
Date: 01/2024
Sponsoring organization: Mathematica
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Rural Maryland Council Report on the Transportation Health Care Roundtable Meetings
Summaries of a series of roundtable discussions between healthcare and transportation providers to determine how health and human services transportation can be improved in Maryland. Mentions rural throughout.
Date: 03/2023
Sponsoring organizations: Rural Maryland Council, Tri-County Council for Southern Maryland
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Summaries of a series of roundtable discussions between healthcare and transportation providers to determine how health and human services transportation can be improved in Maryland. Mentions rural throughout.
Date: 03/2023
Sponsoring organizations: Rural Maryland Council, Tri-County Council for Southern Maryland
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Preserve Telehealth Access Act of 2021: Telehealth Recommendations
Offers policy recommendations related to Maryland's Preserve Telehealth Access Act of 2021, including recommendations related to provider options to deliver care via telehealth, audio-visual and audio-only delivery, remote patient monitoring, hospice care services, inpatient care, patient privacy, and reimbursement levels.
Author(s): Randolph S. Sergent, Ben Steffen
Date: 12/2022
Sponsoring organization: Maryland Health Care Commission
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Offers policy recommendations related to Maryland's Preserve Telehealth Access Act of 2021, including recommendations related to provider options to deliver care via telehealth, audio-visual and audio-only delivery, remote patient monitoring, hospice care services, inpatient care, patient privacy, and reimbursement levels.
Author(s): Randolph S. Sergent, Ben Steffen
Date: 12/2022
Sponsoring organization: Maryland Health Care Commission
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Technical Report of The Maryland Telehealth Study
Presents the results of a study examining the quality and cost of telehealth following its expansion during the COVID-19 pandemic, as well as impact on access to healthcare, alignment with other models of care, and provider and patient satisfaction with a focus on policy impacts in Maryland. Includes findings of a literature review, consumer interviews, behavioral healthcare organization focus groups, and a provider survey.
Date: 10/2022
Sponsoring organizations: NORC at the University of Chicago, The Maryland Health Care Commission
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Presents the results of a study examining the quality and cost of telehealth following its expansion during the COVID-19 pandemic, as well as impact on access to healthcare, alignment with other models of care, and provider and patient satisfaction with a focus on policy impacts in Maryland. Includes findings of a literature review, consumer interviews, behavioral healthcare organization focus groups, and a provider survey.
Date: 10/2022
Sponsoring organizations: NORC at the University of Chicago, The Maryland Health Care Commission
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Consumer Finances in Rural Appalachia
Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Sponsoring organization: Consumer Financial Protection Bureau
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Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Sponsoring organization: Consumer Financial Protection Bureau
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Maryland Community Health Worker and Employer Surveys: Analysis and Report, With a Focus on Rural Maryland
Examines the Maryland landscape of community health workers (CHWs) and the organizations that employ them; identifies barriers and facilitators to incorporating the CHW skillset into patient-centered healthcare models; and determines the impact of CHWs on access to healthcare and use of preventive health services by the people they serve. Features statistics including demographics, services provided, funding sources, and type of employer, with breakdowns by urban or rural area.
Author(s): Brian Robertson, John Charles, Allison Tippery, et al.
Date: 06/2022
Sponsoring organization: Maryland State Office of Rural Health
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Examines the Maryland landscape of community health workers (CHWs) and the organizations that employ them; identifies barriers and facilitators to incorporating the CHW skillset into patient-centered healthcare models; and determines the impact of CHWs on access to healthcare and use of preventive health services by the people they serve. Features statistics including demographics, services provided, funding sources, and type of employer, with breakdowns by urban or rural area.
Author(s): Brian Robertson, John Charles, Allison Tippery, et al.
Date: 06/2022
Sponsoring organization: Maryland State Office of Rural Health
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Community Health Worker (CHW) Impact in Maryland
Infographic showing the value and impact of community health workers (CHWs) in Maryland. Features statistics including percents of the top 5 services CHWs report providing for their clients, with breakdowns by urban and rural locations.
Date: 2022
Sponsoring organization: Maryland State Office of Rural Health
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Infographic showing the value and impact of community health workers (CHWs) in Maryland. Features statistics including percents of the top 5 services CHWs report providing for their clients, with breakdowns by urban and rural locations.
Date: 2022
Sponsoring organization: Maryland State Office of Rural Health
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Community Health Workers (CHWs) in Rural Maryland
Infographic describing the role and activities of community health workers (CHWs) in rural areas of Maryland. Features statistics on percent of CHWs providing services to vulnerable populations in rural Maryland, and substance use disorder support and funding for CHWs, with breakdowns by urban or rural location.
Date: 2022
Sponsoring organization: Maryland State Office of Rural Health
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Infographic describing the role and activities of community health workers (CHWs) in rural areas of Maryland. Features statistics on percent of CHWs providing services to vulnerable populations in rural Maryland, and substance use disorder support and funding for CHWs, with breakdowns by urban or rural location.
Date: 2022
Sponsoring organization: Maryland State Office of Rural Health
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2021 Maryland Primary Care Needs Assessment
Identifies areas of focus for primary, dental, and mental healthcare and services in Maryland. Includes sections on Health Professional Shortage Areas, Medically Underserved Areas and Populations, Federally Qualified Health Centers, the J-1 Visa Waiver program, and the State Loan Repayment Program.
Date: 09/2021
Sponsoring organization: Maryland Department of Health
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Identifies areas of focus for primary, dental, and mental healthcare and services in Maryland. Includes sections on Health Professional Shortage Areas, Medically Underserved Areas and Populations, Federally Qualified Health Centers, the J-1 Visa Waiver program, and the State Loan Repayment Program.
Date: 09/2021
Sponsoring organization: Maryland Department of Health
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Additional resources are available. See a full list of Maryland Resources.
Last Updated: 11/18/2025