The answer to America’s health care cost problem might be in Maryland

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The answer to America’s health care cost problem might be in Maryland
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Maryland has a healthcare system unique in the United States: a global hospital budget. Here’s how it works.

in the state have hypertension, and nearly half of them don’t have their blood pressure checked regularly.

And the stress was unimaginable, she said. It also put her at risk of a heart attack, stroke, or aneurysm, common complications for people with hypertension. Across the state, there are other examples of this kind of everyday help. Other hospitals, like in Western Maryland or at Greater Baltimore Medical Center, offer meal preparation or transportation to doctor appointments. Sinai Hospital’s parent company, Lifebridge, has a caseworker program for patients with diabetes.

Last May, she connected with Mayo as part of a home care program Sinai now offers for diabetic patients. By November, she hadn’t been readmitted for her diabetes. Crowder told Mayo that she hates eating. She wasn’t feeling well on the day we stopped by, but her blood sugar levels were stable. There was a full rotisserie chicken on her table, but she had barely eaten for several days.

Maryland’s system is still new, and it’s constantly evolving, which makes it hard to evaluate whether all of this is working., co-authored by Josh Sharfstein, the former secretary of the Maryland Department of Health and Mental Hygiene who helped craft the global budget system, found readmission rates decreased for Medicare patients in the first year of implementing the global budget system throughout the state.

“It’s not the magic bullet ... [but] Maryland is doing more and providing better incentives than any other individual state”

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