A Revolutionary Step in Healthcare
The AHEAD model focuses on providing high-quality healthcare through enhanced coordination and a strong emphasis on social determinants of health for underserved populations. Governor Wes Moore, a Democrat who recently signed agreements with the Centers for Medicare and Medicaid Services, expressed pride in Maryland’s role in this new healthcare chapter. “The AHEAD model is the next chapter in healthcare, and we are proud to write that new chapter here in Maryland,” he stated.
Maryland’s all-payer system enables the state to establish rates for hospital services, ensuring uniform charges across all payers for the same services at a given hospital. This approach not only aims to eliminate the need for charity hospitals but also seeks to ensure equitable treatment of patients regardless of their insurance status.
Prioritizing Equity and Quality
Senator Chris Van Hollen emphasized the importance of this unique system that has evolved over decades, stating, “By signing this AHEAD agreement, we are taking it to the next level, and the key is that it helps us achieve three top priorities: equity, quality, affordability.” The agreement is designed to maintain Maryland’s policy that healthcare providers receive equal payment for services, thereby incentivizing hospitals to provide equitable care to all patients, whether they have private insurance, government insurance, or no insurance at all.
As part of the AHEAD model implementation, the Maryland Department of Health will begin planning for its rollout on January 1, 2025. This includes setting targets for cost reduction, quality and equity improvements, population health, and primary care investments, along with identifying regional partnerships to drive these goals forward.
Commitment to High-Quality Care
Senator Ben Cardin reiterated Maryland’s commitment to ensuring the most effective quality of care available. He highlighted the state’s investment in primary care, early screenings, and preventative measures, stating, “We want to keep you healthy so you spend less time on healthcare needs.” The AHEAD model not only aims to enhance care quality but also seeks to address existing healthcare disparities within the state.
In addition to Maryland, the Centers for Medicare and Medicaid Services have selected five other states—Vermont, Connecticut, Hawaii, Rhode Island, and New York—to participate in the AHEAD model, marking a significant expansion of efforts to improve healthcare systems across the nation.
Brooks-Lasure further noted that Maryland’s participation in the AHEAD model represents a critical step toward improving the overall health of its residents, supporting primary care, transforming healthcare in communities across the state, and addressing inequities within the healthcare system.