The Maryland approach to controlling health costs
We needed to move away from a fee-for-service-driven health care system, where the incentive was to do more to be paid more, and instead move to a system where the incentives are aligned to what we all feel needs to be done.
– Carmela Coyle, CEO, Maryland Hospital Association
Since 1977, Maryland’s unique all-payer system has succeeded in keeping health care costs relatively low. Now the state is embarking on a …
The Maryland approach to controlling health costs

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