• Is all-payer rate setting the answer?

    Go see what Bob Murray has to say on WBUR’s CommonHealth blog about Maryland’s all-payer hospital rate setting regime. He’s the outgoing executive director of Maryland’s commission that oversees the system. Here’s the one-chart version with the key numbers in blue text.

    Background on all-payer available in prior posts. Many more all-payer resources via Igor Volsky.

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    • According to the Dartmouth Atlas, in 2007, Maryland’s Medicare reimbursement per enrollee was 1.08, slightly above the national average. Inpatient short-stay reimbursement per enrollee was 1.36; inpatient short stay reimbursement per enrollee was 0.27.

      Short answer: unit costs 3% below US average; number of units 8% above US average.

      We need to control unit price, unit volume and quality, simultaneously.