Under Global Budgets, Hospital Utilization In Maryland Decreased By 11 Percentage Points More Than In Other States, 2013–23 Authors: Timothy Bulat tbulat@aresearch.com, Sean R. McClellan, and Matthew J. Trombley

https://www.healthaffairs.org/doi/10.1377/hlthaff.2025.01324?utm_campaign=april%202026%20issue&utm_medium=email&_hsenc=p2ANqtz--Rm5tfoAiliUw98300TW5Mjfdn632cvbFffJih1grQFNkXf41ysOo7hn4FlHiMLgINlLKFdtc8ejyOkiX8vxAFdHdOHA&_hsmi=416613978&utm_source=well%20r An analysis of commercial and Medicare claims shows that Maryland’s global budget model led to significantly lower hospital utilization relative to other states after adjusting for demographic changes