How Maryland’s Total Cost Of Care Model Has Helped Hospitals Manage The COVID-19 Stress Test

The Maryland Total Cost of Care (TCOC) model, one of the nation’s most innovative advanced alternative payment models, is about to enter year three. This demonstration and partnership with Centers for Medicare and Medicaid Services (CMS) is testing hospital global budgets, as evolved from its 2014 beginnings, and is guided by the state’s Health Services Cost Review Commission (HSCRC).

We believe the COVID-19 pandemic represents an important opportunity to assess this global budget model under stress—with implications for future health care financing. One of us (Chris L. Peterson) served as the principal deputy director of payment reform and provider alignment at the HSCRC from 2016 to 2020. The other (Dale N. Schumacher) has represented hospital medical staff in prospective payment negotiations with the HSCRC and has published analyses of Maryland hospital performance. In this post, we describe how the TCOC model has provided flexibility and stability to Maryland’s private-sector hospitals

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Survey: 1 in 4 women use cannabis to manage menopause symptoms

Sept. 28 (UPI) — More women either are using cannabis or want to start doing so to manage some symptoms of menopause, according to a study presented Monday during the 2020 Virtual Annual Meeting of the North American Menopause Society.

Roughly one in four women in a survey reported they had used or currently were using cannabis to manage their menopause, while fewer than the one in five who indicated they were taking more traditional treatments such as hormone therapy.

Fifty-four percent of women respondents said they experienced hot flashes and night sweats, while 69% reported genitourinary symptoms and 27% said they had insomnia resulting from menopause, the researchers said.

“These findings suggest that cannabis use to manage menopause symptoms may be relatively common,” study co-author Carolyn Gibson said in a statement.

“However, we do not know whether cannabis use is safe or effective for menopause symptom management or whether

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