HEALTHCARE EXPENDITURES

The Maryland Health Care Commission (MHCC) is responsible reporting on a variety of health care data to inform decision-making by policy makers, payors, providers, and consumers. Maryland Health General Article §19-133(g) requires MHCC to report annually on the level of payments to physicians and other health care practitioners and on the utilization patterns of health care services. In addition, MHCC performs ad-hoc analyses at its discretion and in response to requests from the Maryland General Assembly (MGA) and other State Agency partners. MHCC leverages its Maryland Medical Care Data Base (MCDB), state and federal databases and surveys, and other data resources, as needed, to inform its analyses and reports. 

Statewide Healthcare Spending

MHCC reports on statewide healthcare spending based on expenditure estimates from the Centers for Medicare and Medicaid Services (CMS) National Health Expenditure Data for States. These report include total expenditure, per capita expenditure, shares of income devoted to healthcare, and breakdown by type of service and payor source. Please follow these links for selected annual reports: 2010 (report, presentation, press-release); 2012, 2013, 2014.

Commercially Insured Spending

MHCC reports on health care spending for the commercially insured population based on data from the MCDB. These reports include total and out-of-pocket expenditure, per capita expenditure, and comparisons by market, and type of service. In addition to providing these standard data, each report focuses on timely policy issues.

Spending and Use among Maryland's Privately insured 2020 (May 2022)

Spending and Use among Maryland's Privately insured 2020 (Presentation)

Privately Insured Spending in Maryland's Individual Market 2020 Early Look (Presentation) 

Spending and Use among Maryland's Privately insured 2019 (April 2021)

Spending and Use among Maryland's Privately Insured 2019 (Presentation) 

Privately Insured Spending in Maryland's Individual Market 2019 Early Look (Presentation)

Spending and Use among Maryland's Privately insured 2018 (May 2020)

Spending and Use among Maryland's Privately Insured 2018 (Presentation)

Spending and Use among Maryland's Privately Insured 2017 

Spending and Use among Maryland's Privately Insured Report (Presentation)

Spending and use among Maryland’s privately fully - insured 2016 (May 2018)

Privately Insured Spending in Maryland's Individual Market 2016 (February 2018) 

Spotlight on Maryland: Spending and Use among Maryland's privately fully - insured 2015 (August 2017)

Spotlight on Maryland: Spending and Use among Maryland's privately fully - insured (2014 vs 2013) - Revised November 2016

Spotlight on Maryland: The evolving landscape of Health Care Reform and Health Care Spending in Maryland (December 2013)

Health Care Spending in Maryland Prior to Implementation of the Health Benefit Exchange (May 2013)

Health Care Spending in Maryland's Individual and Small Group Markets (October 2011)

Payments for Professional Services

MHCC reports on trends in the service volume and level of payments for health care services provided by physicians and other professionals to privately insured, nonelderly residents of Maryland. These reports are based on health care claims and encounter data that most health insurance plans serving Maryland residents submit annually to the MHCC as part of the MCDB.

Payment for Professional Services in Maryland 2022 (In Network Services Only) 

Payment for Professional Services in Maryland 2022 (Presentation)

Payment for Professional Services in Maryland 2021 (In Network Services Only) 

Payment for Professional Services in Maryland 2021 (Presentation) 

Payment for Professional Services in Maryland 2020 (In Network Services Only) 

Payment for Professional Services in Maryland 2020 (Presentation) 

Payment for Professional Services in Maryland 2019 (In Network Services) (Published in 2020)

Payment for Professional Services in Maryland 2019 (Presentation)

Payment for Professional Services in Maryland 2018 (Published in 2020)

Payment for Professional Services in Maryland (2015 - 2017)  (Presentation)

Payment for Professional Services in Maryland (In-Network Only) 

Payment for Professional service 2011 - 2012 (Published in 2014)

Past Reports

Ad hoc Reports

MHCC conducts a variety of policy analyses and develops reports and presentations at the request of the MGA, other State Agencies, and to supports its programs.

Primary Care Issue Brief (August 2020) 

Assignment of Benefits Study Report  (January 2015)

Impact of Assignment of Benefits Legislation – Baseline Analysis (November 2012)

Please check back here for more reports and links. 

If you have questions or comments about these reports, please contact Kenneth Yeates-Trotman (kenneth.yeates-trotman@maryland.gov).