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Maryland to Tie Hospital Spending Increases to Economic Growth

South Dakota state law currently caps increases in state funding for K-12 education at 3% or the annual percentage change in the consumer price index, whichever is lower. (House Bill 1003 would amend that law to set a minimum annual increase of 2%.)

So if the state can cap increased funding for a vital public service like education at the going rate of inflation, could the state cap cost increases in another vital public service? That's what Maryland is doing with health care:

...[T]he state took another big step forward on Friday with the announcement that the federal government will allow the state to tie increases in hospital spending to economic growth—a bold challenge for a sector of the economy that has typically far outpaced the broader economy.

After a decade in which hospital spending in Maryland grew twice as fast as the state’s economy, Maryland will hold all of its hospitals to a growth rate of 3.58 percent, the state’s per-capita rate of economic growth. The state is also required to capture $330 million in Medicare savings over a five-year test period, reduce hospital readmissions, prevent hospital infections and file annual reports on population-health benchmarks. The new agreement with the Centers for Medicare and Medicaid Services upends the practice of paying doctors for each individual transaction, instead transitioning to “global payments,” which offer bulk sums for an entire population and encourage providers to reduce unneeded procedures and improve care to hold onto as much of the money as possible [Chris Kardish, "Maryland Becomes First State to Cap Hospital Spending," Governing, 2014.01.10].

If South Dakota can expect schools to run on a funding increases tied to economic factors, we should be able to impose the same expectations on hospitals, right?

6 Comments

  1. Owen Reitzel 2014.01.13

    Looks like a good idea. Wot fly here I bet.

  2. Michael B 2014.01.13

    Why stop there Cory!

    We need LESS regulation, not more. It may be your perfect dream world for the government to solve all of societies problems, but it sure isn't mine.

  3. caheidelberger Post author | 2014.01.13

    Why stop there? Because not everything is a vital public service that receives significant public subsidy, warranting collective management for the general welfare. We don't need cost controls on the photo industry. Nearly every other industrialized country recognizes the need for government management of health care to ensure universal access. The U.S. and South Dakota are just catching up.

  4. mike from iowa 2014.01.13

    Healthcare is not vital for anyone if they can't afford it. Let 'em die. We need less regulations,unless we are talking about welfare program,then we need much,much more regulating to winnow out the poor ,the elderly,military families,the disabled,children. Welfare is for the wealthy. Why do you suppose those two words sound similar?

  5. barry freed 2014.01.14

    He may be a critical thinker and honest. It could happen. Maybe he will back Medicaid for all. If not, his will be one more name on the Class Action Lawsuit by those the Governor and Lawmakers injure and kill with their politics.
    Exhibit A:
    "I want to stress that: these are able-bodied adults. They're not disabled; we already cover the disabled. They're not children; we already cover children. These are adults -- all of them," said Daugaard, Yankton, S.D.-based WNAX radio reported.

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