Comments on: Can All-Payer Payment Reform Work? The Maryland Example http://blog.hcfama.org/2009/09/16/can-all-payer-payment-reform-work-the-maryland-example/ The Ultimate Massachusetts Health Care Insider Information Mon, 13 Feb 2012 20:02:38 +0000 hourly 1 http://wordpress.com/ By: A Healthy Blog » AG Report: Short Term/Long Term Issues; and Short Term/Long Term Solutions http://blog.hcfama.org/2009/09/16/can-all-payer-payment-reform-work-the-maryland-example/#comment-2543 Sun, 07 Feb 2010 23:39:28 +0000 http://blog.hcfama.org/?p=3553#comment-2543 [...] should re-examine price setting. Mahar looks to the Maryland hospital rate-setting experience (as have we) for an example of a system that protects consumers and government against market failures inherent [...]

]]> By: Dave http://blog.hcfama.org/2009/09/16/can-all-payer-payment-reform-work-the-maryland-example/#comment-2542 Fri, 18 Sep 2009 00:32:25 +0000 http://blog.hcfama.org/?p=3553#comment-2542 I hope there are some better statistics to review than the one you reproduced on the blog(charges v cost). The cost to charge ratio depicted on the graph does not reveal the price paid by insurers or government agencies for health care. Why? Nobody pays full charges. This statistic does not tell us anything about the effectiveness of the Maryland system.

]]> By: Katharine http://blog.hcfama.org/2009/09/16/can-all-payer-payment-reform-work-the-maryland-example/#comment-2541 Thu, 17 Sep 2009 13:47:10 +0000 http://blog.hcfama.org/?p=3553#comment-2541 Business and community leaders have an unusual role in setting health policy in Maryland. The state regulators work very closely with the hospital association, and the MD hospital association is comprised of hospital trustees, not hospital executives. I believe that this structure has enabled Maryland to succeed in both cost control and quality improvement where other states have failed.

The Maryland Hospital Association
“is the only state hospital/health care association in the United States led by the trustees of hospitals and health systems. The association’s Board of Trustees is comprised of the chief elected trustee leader (or his or her designee) from each member institution. The Board meets twice a year to approve the association’s strategic direction and budget.

“Ongoing organizational activity and policy are determined by the Executive Committee of the Board, which meets monthly. The majority of Executive Committee members are hospital or health system trustees. Members include MHA’s officers (Board chair, two vice chairs, secretary, and treasurer); the chairs of each of three policy councils; trustee and executive councilors-at-large; and the board chairs of the Maryland Healthcare Education Institute, PRIME, the Health Policy Leadership Alliance, and the association’s representative to the American Hospital Association’s House of Delegates.”
from http://www.mdhospitals.org/mha/About_MHA/What_MHA_Does.shtml

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