Specifications include, but are not limited to: The Maryland State Office of Rural Health (SORH), within the Office of Populaon Health Improvement (OPHI) at the Maryland Department of Health (the Department) is seeking a Contractor to provide services related to the evaluaon of the impact of the Maryland Total Cost of Care alternave payment model in Maryland’s rural areas. The Maryland Total Cost of Care Model structure, under the guidance of the Maryland Health Services Review Commission (HSCRC), aims to transion the Medicare payment system from volume to value-based. The alternave payment model is designed to: - Coordinate care for paents across sengs; - Improve health outcomes; and - Constrain the growth of health care costs in Maryland. The TCOC Model has the following four components: - Hospitals operate under populaon-based budgets (referred to as global budget revenue or GBR), which includes payment incenves for hospital quality and controlling costs; - Hospitals can parcipate in Care Redesign Programs and Care Transformaon Iniaves, which expand the incenves for hospitals to work with other care providers and provide an opportunity for non-hospital based providers to parcipate in value-based payment programs; - The Maryland Primary Care Program encourages pracces to adopt advanced approaches to primary care which enhance management of chronic condions to improve the health of Medicare enrollees; and - The TCOC Models’ populaon health focus leverages public / private partnerships to bring sustained coordinated effort and investments to statewide goals related to diabetes, opioid addicon, and maternal and child health.5
