Exploring Global Budgets as a New Reimbursement Model for Low-Volume Critical Access Hospitals

Lead researcher:
Project funded:
September 2014
Anticipated completion date:
April 2019

Given the complexity of the Global Budget reimbursement model, we are interested to learn if there are aspects of the model that can be applied to consolidate reimbursement across rural and frontier health care settings, particularly for CAHs with low-volume (e.g., < 5 acute patients as a daily census).

This study includes examining how Maryland’s Health Services Cost Review Commission is implementing a Global Budge Revenue methodology through an agreement with the Center for Medicare and Medicaid Innovation (CMMI) and identifying any applicable strategies that may be used or adapted at the state or network level that include low-volume CAHs. The study will result in a final report and suggested demonstration design elements for a Global Budget for low-volume rural and frontier CAHs.