Rockville, Md. – As the United States works to address the increasingly onerous cost of healthcare, Maryland’s plan to save Medicare $1 billion by the end of 2023 is significant. The Maryland Health Services Cost Review Commission (HSCRC) is using its Total Cost of Care (TCOC) Model to cap Medicare’s expenditures within the state, and Abt Associates has been contracted to help.
The TCOC Model’s approach to payments is episode based. If providers’ charges for all services delivered during a health episode fall below a threshold set by Medicare, they will receive payment for both costs incurred and the difference. The goal is to incentivize providers to keep costs down while maintaining quality care.
Abt will provide analytic and programming capabilities to design and develop multiple episode-based payment approaches using Medicare claims data. Abt is joined on the three-year, $3.3 million contract by its partners ARC and hMetrix.
“Abt is committed to using its expertise in health and data analysis in the pursuit of more affordable, quality healthcare for everyone,” said Christopher Spera, Ph.D., Abt division vice president, Health and Environment. “Given Maryland’s unique Medicare waiver status, this is an opportunity to apply different approaches that can help modernize the state’s unique health care payment system.”
About Abt Associates
Abt Associates uses data and bold thinking to improve the quality of people’s lives worldwide. From increasing crop yields and combatting infectious disease, to ensuring safe drinking water and promoting access to affordable housing—and more—we partner with clients and communities to tackle their most complex challenges. https://www.abtassociates.com