biostudies-literatureUnknown157(6)Offodile AC<h4>Importance</h4>In 2014, Maryland initiated the global budget revenue (GBR) model, placing caps on total hospital expenditures across all care sites. The GBR program aims to reduce unnecessary utilization while maintaining or improving care quality. To date, there has been limited examination of program effects on cancer care.<h4>Objective</h4>To compare changes in spending, clinical outcomes, and acute care utilization through 4 years of the GBR program among Medicare beneficiaries who undergo cancer-directed surgery in Maryland vs matched control states.<h4>Design, setting, and participants</h4>Drawing from a matched pool of hospitals in Maryland (n = 35) and 24 control states with a similar timing of Medicaid expansion (n = 101), we identified Medicare beneficiaries from Maryland andJAMA surgerye220135https://www.ebi.ac.uk/biostudies/studies/S-EPMC8988019biostudies-literatureAssociation of Maryland Global Budget Revenue With Spending and Outcomes Related to Surgical Care for Medicare Beneficiaries With Cancer.PMC8988019Melamed ALin YLKinzer DKeating NLRauh-Hain JAOffodile ACfalseAssociation of Maryland Global Budget Revenue With Spending and Outcomes Related to Surgical Care for Medicare Beneficiaries With Cancer.<h4>Importance</h4>In 2014, Maryland initiated the global budget revenue (GBR) model, placing caps on total hospital expenditures across all care sites. The GBR program aims to reduce unnecessary utilization while maintaining or improving care quality. To date, there has been limited examination of program effects on cancer care.<h4>Objective</h4>To compare changes in spending, clinical outcomes, and acute care utilization through 4 years of the GBR program among Medicare beneficiaries who undergo cancer-directed surgery in Maryland vs matched control states.<h4>Design, setting, and participants</h4>Drawing from a matched pool of hospitals in Maryland (n = 35) and 24 control states with a similar timing of Medicaid expansion (n = 101), we identified Medicare beneficiaries from Maryland and2022-01-01T00:00:00Z2022 Jun2026-03-17T15:19:15.667Z2025-04-05T11:56:28.694ZS-EPMC89880193538508510.1001/jamasurg.2022.0135