Mark Franklin

We present the cost of care for select populations under three existing benefit designs for the Washington State Health Care Authority.

Over the last year, the Medicare Advantage industry has witnessed significant transformations driven by regulatory shifts and market headwinds that are shaping up to make the 2025 plan year unlike any we have seen before in the MA space.

We detail our work to help Maryland benchmark the cost and utilization of medical services against other metropolitan statistical areas for calendar-year 2022.

We share the results of our work with Maryland to benchmark the cost and utilization of medical services against other metropolitan statistical areas.

Under the Total Cost of Care (TCOC) Model, the Maryland Health Services Cost Review Commission (HSCRC) is expanding its evaluation of medical cost from hospital costs only to all non-pharmacy components of medical cost, which includes hospital and other facility, professional, and ancillary costs.