The state of Maryland’s four-year-old all-payer global budget has been successful in controlling costs, but not in improving quality, a study by the American Medical Association has found. Specifically, the program did not reduce readmissions, outpatient utilization or ER visits. The financial outcomes of the program have been promising. From 2013 to 2016, the program has previously achieved savings that exceeded CMS expectations and a cost growth rate below the national average.

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