The State of Maryland is proactively transforming healthcare through its Total Cost of Care All-Payer Model, a groundbreaking initiative in partnership with the Federal Government. This model is strategically designed to foster seamless care coordination across all healthcare settings – from hospitals to community clinics – ultimately aiming to elevate patient health outcomes and responsibly manage healthcare costs throughout Maryland. A cornerstone of this ambitious model is the Maryland Primary Adult Care Program (MDPCP).
Understanding the Maryland Primary Adult Care Program (MDPCP)
The MDPCP stands out as a voluntary program, specifically crafted for all eligible primary care providers across Maryland. It serves as a vital resource, offering both financial backing and comprehensive support systems to facilitate the delivery of advanced primary care statewide. By investing in primary care, the MDPCP is fueling a significant healthcare transformation. It empowers primary care providers to take on a more prominent role in critical areas such as preventative care, effective chronic disease management, and actively working to minimize unnecessary hospitalizations.
Maryland’s Commitment to Innovative Healthcare Transformation
The Maryland Department of Health (MDH) has been instrumental in the creation and implementation of the MDPCP, working in close collaboration with the Centers for Medicare and Medicaid Services (CMS). Within MDH’s Public Health Services, the Program Management Office (PMO) is at the helm, driving the implementation of this innovative healthcare program in partnership with the Center for Medicare and Medicaid Innovation (CMMI). The MDPCP represents Maryland’s dedication to creating a more efficient and patient-centered healthcare ecosystem.
CareFirst Alignment and Program Participation
Demonstrating broad support for this initiative, CareFirst BlueCross BlueShield joined the program as an aligned payer in January 2020. For healthcare providers interested in understanding the nuances of payer alignment, a detailed Comparison Table is available, highlighting the key distinctions between the Medicare MDPCP and CareFirst’s Patient Centered Medical Home (PCMH) program. Furthermore, the MDPCP-CareFirst Alignment FAQs provide answers to common questions and offer deeper insights into this alignment.
Currently, it’s important to note that there are no scheduled additional application periods for practices, Federally Qualified Health Centers (FQHCs), and Certified Technology Organizations (CTOs) to join the MDPCP. For those seeking more in-depth information about the broader context of this program, resources are available on the CMS Total Cost of Care Model page.
For the latest updates and information related to COVID-19 and its impact on healthcare programs, please refer to the COVID-19 Information page.
The Maryland Primary Adult Care Program is a significant step forward in enhancing healthcare delivery and ensuring Maryland residents receive high-quality, coordinated care focused on prevention and well-being.
