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Maryland Total Cost of Care Model reduced spending by $365 million

  The TCOC Model achieved considerable savings, but also brought significant progress in engaging health care providers across the state including hospitals, primary care providers, post-acute care providers and community organizations, said Stallings.  “I would say anytime you invest in primary care, you see a return, you see an improvement in the health of your communities.” One of the model’s core features is its use of global budgets. These fixed budgets are set for every hospital, which Stallings said significantly distinguishes the TCOC Model from other delivery models. “We believe [global budgets are] a real distinguishing factor, because unlike the rest of the country, our hospitals aren’t paid more to do more. Our focus is really on the health of our communities.”

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