title: Maryland's all-payer system: a delicate balancing act.
abstract: A state-regulated, all-payer system has saved Maryland an estimated $43 billion since 1976 while improving access to health care for state residents. It remains to be seen how healthcare reform will impact the system. Buy-in by hospitals, payers, and even the federal government is a must to keep the all-payer system working. In other states, similar efforts have failed. Uniform rate-setting takes some of the guesswork out of financial planning, but it has also resulted in lower margins and greater debt for Maryland hospitals.
authors: klw@klw.ms
authors: Karen
authors: K
authors: Wagner
mesh_terms: D003363:Cost Control / Q000458:organization & administration; D004469:Economics, Hospital; D018166:Health Care Reform; D006297:Health Services Accessibility; D008396:Maryland; D012051:Reimbursement Mechanisms / Q000458:organization & administration*