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MD_TCOC_Implementation_Report

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MD_TCOC_Implementation_Report

MathematicaProgress TogetherEvaluation of the Maryland Total Cost of Care Model: Implementation Report44378Rachel Machta, Greg Peterson, Jason Rotter,

MD_TCOC_Implementation_Report , Kate Stewart. Shannon Heitkamp, Isabel Platt, Danielle Whicher. Keri Calkins, Keith Kranker, Linda Barterian, Nancy McCallSubmitted to:U.S. Departme

nt of Health and Human Sen icesCenters for Medicare & Medicaid Services7500 Security Blvd.Baltimore, MD 21244-1850Contracting Officer’s Representative MD_TCOC_Implementation_Report

: Katherine GiuriceoContract Number: HHSM-500-2014-00034ISubmitted by:Mathematics1100 1st Street, NE 12th Floor Washington, DC 20002-4221 Telephone: (

MD_TCOC_Implementation_Report

202) 484-9220 Project Director: Greg Peterson Reference Number: 50865This prcjed was funded by the Centers for Medicare & Medicaid Services under cont

MathematicaProgress TogetherEvaluation of the Maryland Total Cost of Care Model: Implementation Report44378Rachel Machta, Greg Peterson, Jason Rotter,

MD_TCOC_Implementation_Report retted the views or policies cf the Centers for Medicare & Med cold Services Mathematica assumes responsibility for the accuracy and completeness of

the information contained In this report.AcknowledgmentsThe authors wish to thank Sarah Bardin. Nadia Bell. Sheena Flowers. Sule Gerovich. Donovan Gri MD_TCOC_Implementation_Report

ffin. Elizabeth Holland. Sandi Nelson. Ann O’Malley. Christopher Palo. Shengyuan Pan. Margaret Raskob. Lisa Shang. and Mira Wang for their contributio

MD_TCOC_Implementation_Report

ns to this report. We are also gratefill to the individuals from the Centers for Medicare & Medicaid Services, the Maryland Health Services Cost Revie

MathematicaProgress TogetherEvaluation of the Maryland Total Cost of Care Model: Implementation Report44378Rachel Machta, Greg Peterson, Jason Rotter,

MD_TCOC_Implementation_Report Operational Command Center who shared their knowledge, experiences, and (as applicable) datasets with US. We are gratefill for the guidance from our

CMS Project Officer.Katherine Giuriceo.ContentsContentsAcknowledgments........................................................................iiiAcron MD_TCOC_Implementation_Report

yms................................................................................XiExecutive Summary................................................

MD_TCOC_Implementation_Report

.....................xiiiA.Model origin...............................................................xiiiB.Three pathways to outcome improvements....

MathematicaProgress TogetherEvaluation of the Maryland Total Cost of Care Model: Implementation Report44378Rachel Machta, Greg Peterson, Jason Rotter,

MD_TCOC_Implementation_Report Organizationpathway.......XV3.Thestate accountability pathway....................................XVc.Room for improvement on targeted outcomes at the

start of the model.........XVID.Key implementation findings, by pathway....................................xvii1.Thehospital and care partner pathway. MD_TCOC_Implementation_Report

............................xvii2.Theprimary care and Care Transformation Organizationpathway....xviii3.Thestate accountability pathway...............

MD_TCOC_Implementation_Report

....................xixE.Conclusionand next steps for the evaluation...............................XX

MathematicaProgress TogetherEvaluation of the Maryland Total Cost of Care Model: Implementation Report44378Rachel Machta, Greg Peterson, Jason Rotter,

MathematicaProgress TogetherEvaluation of the Maryland Total Cost of Care Model: Implementation Report44378Rachel Machta, Greg Peterson, Jason Rotter,

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