Overview
The Maryland All-Payer Model, launched in 2014, established and achieved goals for transforming hospital care across the State. In 2018, the Centers for Medicare & Medicaid Services (CMS) approved the Total Cost of Care (TCOC) Model that expands on the All-Payer Model. The TCOC Model priorities include enabling access to quality health care, addressing the health and wellness needs of the senior population, reducing unnecessary emergency department and hospital utilization, fighting the opioid epidemic, and improving population health1.
The Maryland Primary Care Program (MDPCP) is a key initiative under the TCOC Model. It is a voluntary program for primary care providers that supports the overall health care transformation process and allows primary care providers to play an increased role in prevention, management of chronic disease, and preventing unnecessary hospital utilization. The MDPCP integrates care management into primary care and specialty provider practices to advance primary care throughout the State.
1. Maryland’s Total Cost of Care. Available at: hscrc.maryland.gov/Pages/tcocmodel.aspx.
Advisory Council
In January 2019, the Secretary of the Maryland Department of Health (Secretary) requested that an Advisory Council (Council) be established to provide input on MDPCP operations.
Key responsibilities of the Council include:
- Making recommendations for inclusion in the State's annual report to CMS on MDPCP;
- Considering MDPCP operational improvements, including suggested modifications to care delivery requirements;
- Gathering data from MDPCP providers and beneficiaries to support issue research; and
- Requesting other agencies within the Maryland Department of Health to examine specific issues.
The MHCC convenes the Council quarterly or as needed, based on MDPCP policy priorities. Recommendations for Council membership are made by the MHCC in consultation with the MDPCP PMO and approved by the Secretary. The Council has a total of 21 seats. A list of Council members is available here.
Meetings
All posted meeting materials should be considered as draft until the Council meeting is held.
Meeting Materials:
2023
 March 28, 2023: |
Agenda, PMO Presentation, MHCC Presentation, MDPCP Dashboard Report,
Journal of General Internal Medicine
and Health Affairs |
|
| January 10, 2023: |
Recording, Meeting Summary, PMO Presentation, Health Affairs, JAMA, and Milbank |
2022
2021
| October 26, 2021: |
Recording, Meeting Summary, PMO Presentation, and Health Equity Presentation |
| August 10, 2021: |
Recording, Meeting Summary, Presentation, and MACRA Timeline |
| May 4, 2021: |
Recording, Meeting Summary, and Presentation |
2020
| December 15, 2020: |
Recording, Meeting Summary, Track 3 Policy Summary, and Presentation |
| December 8, 2020: |
Recording, Meeting Summary, and Presentation |
| December 1, 2020: |
Recording, Meeting Summary, Track 3 Performance Adjustment, and Presentation |
| November 17, 2020: |
Recording, Meeting Summary, PMO Policy Outline, and Presentation |
| November 10, 2020: |
Recording, Meeting Summary, and Presentation |
| October 27, 2020: |
Recording, Meeting Summary, and Presentation |
| October 20, 2020: |
Recording, Meeting Summary, and Presentation |
| October 6, 2020: |
Recording, Meeting Summary, and Draft Track 3 Requirements Table |
| September 29, 2020: |
Recording, Meeting Summary, and Draft Track 3 Requirements Table |
| September 22, 2020: |
Recording, Meeting Summary, and Draft Track 3 Requirements Table |
| September 15, 2020: |
Recording, Meeting Summary, and Draft Track 3 Requirements Table |
| September 1, 2020: |
Recording, Meeting Summary, and Draft Track 3 Requirements Table |
| August 25, 2020: |
Recording, Meeting Summary, and Draft Track 3 Requirements Table |
| August 18, 2020: |
Recording, Meeting Summary, and Draft Track 3 Requirements Table |
| August 4, 2020: |
Recording, and Meeting Summary |
| July 28, 2020: |
Recording, and Meeting Summary |
| March 27, 2020: |
Notice to Public of Emergency Meeting and Advisory Council Action |
| February 13, 2020: |
Presentations |
2019
Resources
- Etz, R. S., Zyzanski, S. J., Gonzalez, M. M., Reves, S. R., O'Neal, J. P., & Stange, K. C. (2019). A New Comprehensive Measure of High-Value Aspects of Primary Care. Annals of Family Medicine. https://pubmed.ncbi.nlm.nih.gov/31085526/
- Perman, C., Patterson, R., & Haft, H. (2020). Maryland’s Innovative Primary Care Program: Building a Foundation for Health and Well-Being. The Milbank Quarterly. Available at: www.milbank.org/publications/marylands-innovative-primary-care-program-building-a-foundation-for-health-and-well-being/
- Sapra, K. J., Wunderlich, K., & Haft, H. (2019). Maryland Total Cost of Care Model: Transforming Health and Health Care. JAMA. Available at: pubmed.ncbi.nlm.nih.gov/30789655/
- Sayles, J. N., Kanneganti, D., & Bailit, M. (2021). A Data Use Strategy for State Action to Address Health Care Cost Growth. Available at: www.milbank.org/wp-content/uploads/2021/06/Peterson-Milbank-Data-Use-Strategy_6.pdf.
Additional Resources
2021 Evaluation of the Maryland Total Cost of Care Model: Implementation Report
An evaluation of the first two years of the TCOC Model implementation including the Hospital Payment Program, Care Redesign Program, and MDPCP
2021 Evaluation of the Maryland Total Cost of Care Model: Implementation Report – Findings At-a-Glance
Findings and key takeaways from the TCOC Model evaluation report
MDPCP 2021 Annual Report
Results including accomplishments and outcomes for the program's third year
MDPCP 2020 Annual Report
Findings on the second program year and progress towards primary care transformation
MDPCP 2019 Annual Report
Details program growth, accomplishments, and outcomes in the first year
MDPCP Advisory Council Subgroup Recommendations - Innovative Practice Alternatives and Practice Reporting
Recommendations from two subgroups of the MDPCP Advisory Council (the Innovative Practice Alternatives Subgroup and Practice Reporting Subgroup) intended to inform MDPCP enhancement considerations