Experiences With Maryland's All-Payer Model Among Surgeons.

ABSTRACT:

Importance

Hospital global budgets gained attention as a strategy to constrain costs and improve outcomes. The Maryland all-payer model (APM), initiated in 2014 as a global budget revenue model, is an example of full-risk payment reform; yet frontline surgeon perspectives on the implementation and impact of this APM have not been evaluated.

Objective

To examine surgeon experiences working under Maryland's APM.

Design, setting, and participants

This qualitative study used a convergent mixed-methods design to assess survey responses of surgeon experiences and semistructured interviews between June 15 and November 25, 2024. Maryland surgeons were recruited via purposive and snowball sampling for surveys from academic and community surgical practices. A nested sample of r

SUBMITTER: Shammas RL 

PROVIDER: S-EPMC12780931 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature