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For example, Maryland has a successful small employer market for health insurance. This market now covers nearly 400,000 employees working in 47,000 businesses. Our decisions about how to structure the insurance exchange for small businesses under the Affordable Care Act will be guided by our interest in building upon this market.
Maryland is the only state in the country that sets hospital rates so that all payers, public and private, pay the same fees at the same hospital. The rate setting commission determines the rates at each hospital based on how much uncompensated care the hospital provides, the local labor market, and other factors. This successful "all-payer" approach allows the state to create incentives through rates for cost savings, rather than cost shifting. It is an important reason why Maryland has experienced the lowest rate of growth in hospital expenses of any state over the last several decades.
The Affordable Care Act will also support Maryland's expanding health information technology infrastructure, which will include dozens of hospitals and hundreds of practices. It will support our state's commitment to primary care through support of the medical home model and loan repayment for health care providers. The law further provides great flexibility to help us redesign access to Medicaid and other public health programs, reducing bureaucracy and costs.
In Maryland, instead of playing politics, we will use the many tools in the law to improve public health and stop the train of runaway costs barreling down on our children's future and we will measure success by the numbers - how many families no longer have to choose between health care and bankruptcy; how few people are denied coverage when they need it most; and how many more companies are able to provide health insurance and reinvest savings into their workforce to create jobs.
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