Project Overview
To determine whether the Maryland Total Cost of Care Model improves quality of care and health outcomes throughout the state while reducing Medicare costs.
With the Maryland Total Cost of Care Model, the state of Maryland and the Centers for Medicare & Medicaid Services (CMS) are testing whether statewide accountability for cost and quality outcomes—combined with incentives and supports for a wide range of providers to engage in care transformation—can improve health outcomes and reduce Medicare spending. CMS contracted with Mathematica to provide a rigorous, independent assessment of the implementation of the model and its impacts on targeted outcomes.
U.S. Department of Health and Human Services, Center for Medicare & Medicaid Innovation
The goal of the evaluation is to determine whether the MD TCOC Model meets it goals to reduce Medicare spending and improve beneficiary health. This evaluation uses a mixed-methods design to describe model design and implementation, and quasi-experimental design to estimate the impact of the model on key outcomes.
Findings related to the model’s early implementation can be found in the Implementation Report. Quantitative findings from our evaluation of the first three years of the model can be found in the, “Evaluation of the Maryland Total Cost of Care Model: Quantitative Only Report for the Model’s First Three Years (2019 to 2021)."
Evidence & Insights From This Project

Evaluation of the Maryland Total Cost of Care Model: Quantitative Only Report for the Model’s First Three Years (2019 to 2021)
This report presents impacts from the first three years of the Maryland Total Cost of Care Model (MD TCOC). MD TCOC uses a hospital global budget and expands it to statewide accountability for cost and quality outcomes and broadens the incentives and supports to providers to transform care.
Learn MoreRelated Staff
See Clearly. Act Quickly.
We can help you shine a spotlight through the dark. Get in touch to learn more about how Mathematica could help advance your mission.
Explore Partnership