Innovation Center Solicits Proposals from Third Party Payers on Maryland Total Cost of Care Model

The Center for Medicare and Medicaid Innovation (Innovation Center) is collaborating with the state of Maryland to implement the Maryland Total Cost of Care (TCOC) Model. The model, which sets a per capita limit on Medicare total cost of care in Maryland, builds on the Innovation Center’s current Maryland All-Payer Model. The Innovation Center is seeking proposals until November 1, 2019, from third-party payers to enter into agreements with Maryland Primary Care Program (MDPCP) Practices. MDPCP Practices are an initiative under the Maryland TCOC Model. Applicants should be willing to support comprehensive primary care advancement within MDPCP Practices. More information about the notice can be found here.

CMS has indicated that the state of Maryland will develop its own measures and targets to measure the success of the program. The current proposed financial structure aims to save the Medicare program $1 billion between 2019 and 2023.

More information about the TCOC Model can be found here.


For more information visit the McDermottPlus Payment Innovation Resource Center or contact Mara McDermott at 202-204-1462 or