Maryland Total Cost Of Care Model Reduced Medicare Spending & Decreased Health Disparities

Maryland’s Medicare Total Cost of Care (TCOC) model has reduced Medicare spending in the state and has decreased health-related racial and socioeconomic disparities. The state launched the model in 2019 after receiving approval from the Centers for Medicare & Medicaid Services (CMS). During the model’s first four years (2019 through 2022), the state implemented accountability and incentives for provider organizations, and implemented the Maryland Primary Care Program.

The model aims to save $2 billion in Medicare spending over eight years and meet goals for health care quality and population health. During the first three years, after accounting . . .