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Please enable JavaScript in your browser.Accessibility InformationSearch SearchHomeCommission Quality Rate Setting Hospital DataMain Navigation HomeStaff Directory Employment Opportunities Contact Us Commission Commissioners Commission Meetings Approved Policies and Reports Archived Meetings Quality Maryland Hospital Acquired Conditions Readmission Reduction Incentive Program Quality Based Reimbursement GBR-PAU Efficiency Adjustment PAU Savings Policy Archived Quality Initiatives Global Budgets Efficiency Volume UCC Weights/Casemix Workgroup/Webinars Rate Setting Accounting and Budget Manual Policy Clarifications & Regulation Updates Annual Update to Unit Rates Approved Hospital Unit Rate Reports Hospital Data Clinical Data Submission and Requirements Clinical Public Use Data Requests Debt Collection/Financial Assistance (DCFA) Financial Data Submission Tool Maryland Hospital Audited Financial Statements Hospital Credit and Collection Policies Nurse Support Programs I & II Outpatient Services Survey Results Special Audit Exceptions Hospital IRS 990 Forms Annual Report of Revenue, Expenses, and Volumes Financial Data Community Benefit Program Annual Reports Trustee Disclosure Information Maryland.gov Enterprise Agency Template Section Menu Left_Content ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Quick LinksHSCRC Overview Main_Content ​ ​ ​NOTICE: HSCRC is requesting hospital participation with the Annual Filing Modernization Project. For more information related to the upcoming surveys and workgroups, please visit this page​ . The HSCRC is requiring that all hospitals submit Sexual Orientation and Gender Identity (SOGI) data beginning October 1, 2025. To ensure that this data is collected in a culturally appropriate manner, please register and attend one of the SOGI training sessions. For more information, please click here​ and scroll down to the SOGI subgroup section. The State of Maryland is leading a transformative effort to improve care and reduce the growth in healthcare spending. On January 1, 2014, the State of Maryland and the Centers for Medicare & Medicaid Services (CMS) entered into a new initiative to modernize Maryland’s unique all-payer rate-setting system for hospital services. As the State’s hospital rate-setting authority, the HSCRC plays a vital role in the implementation of this innovative approach to health reform. This initiative replaced Maryland’s 36-year-old Medicare waiver and allowed Maryland to adopt new and innovative policies aimed at reducing per capita hospital expenditures and improving patient health outcomes. The All-Payer Model successfully reduced costs to purchasers of care—businesses, patients, insurers, Medicare, and Medicaid—and began to improve the quality of the care that patients receive both inside and outside of the hospital. Since 2014, the State, in close partnership with providers, payers, and consumers, has made significant progress toward this modernization effort. Under the new Total Cost of Care Model,” which began in January 2019 and builds upon the successes of the All-Payer Model, Maryland will progressively transform care delivery across the health care system with the objective of improving health and quality of care. At the same time, the State’s growth in Medicare spending must be maintained lower than the national growth rate. The Total Cost of Care Model will give the State flexibility to tailor initiatives to the Maryland health care context, and encourage providers to drive health care innovation. The Total Cost of Care Model encourages continued Care Redesign, and provides new tools and resources for primary care providers to better meet the needs of patients with complex and chronic conditions and help Marylanders achieve better health status overall. Terms of the agreement can be found here , and additional details on the Model can be found on the Modernization tab. ​​​​​​​​​​​​​​​​​​​​​​​​​​​ ​​​​​​​​​ Contact Us ​ If you have questions for us please let us know . We strive to provide the best possible customer service. 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