Diabetes Outcomes-Based Credit
HSCRC announces federal
approval of the first methodology to credit Maryland for population health
improvements achieved during the Total Cost of Care Model.
The Centers for Medicare & Medicaid
Services (CMS) and the State of Maryland are partnering to test the Maryland
Total Cost of Care (TCOC) Model. Under TCOC, the State is able to receive
credit for savings generated by addressing health conditions, like diabetes, that
affect Marylanders in large numbers. By improving
the health of our population, the State can also reduce all-payer healthcare
spending, a key goal in TCOC. This unique opportunity recognizes that the State
is now investing in programs that prevent/delay diabetes onset over the long
term, but that may not immediately result in cost savings. Under the Model, if
Maryland is able to prevent or delay diabetes onset, the State will receive
credit to offset federal investment in Maryland. Any credit earned increases TCOC Model
Savings, which may benefit hospital global budgets. In this way, Maryland aims
to further incentivize health system transformation and public health
intervention alignment.
Additional Materials
Diabetes OBC Methodology Summary
Approval Letter from CMMI
Approved Proposal to CMMI
For more information, please email Laura.Mandel@maryland.gov
