Financial Policy Review

2026-11-03

Contractor Requirements : Scope of Work 2 . 1 Summary Statement This Request for Proposals ( RFP ) is issued to procure the goods or services , as specified in this Section 2 , from a contract between the selected offeror ( s ) and the State of Maryland (“ State ”). The State is issuing this solicitation to hire a Contractor to assist the Maryland Health Services Cost Review Commission ( HSCRC ) in adjudicating full rate reviews , analyzing health systems ’ cost structures , and assessing , reviewing , and evaluating proposed changes to some methodologies under Maryland . Code , Health - General Article § 19 - 201 et seq ., or to support the HSCRC in other reviews of a similar nature . 2 . 2 This project includes the following tasks • Assisting with Full Rate Reviews • Assessment of Health Systems ’ Cost Structure • Financial and Regulatory Review 2 . 2 Background and Purpose HSCRC is an independent state agency responsible for setting the rates Maryland ’ s hospitals may charge for healthcare services . The HSCRC sets an annual “ Update Factor ” to adjust overall hospital rates to account for inflation and population growth , and other regular adjustments . Additionally , hospitals may submit a Full Rate Application to the HSCRC if they believe that they have insufficient rates to provide healthcare services . The HSCRC adjudicates these Full Rate Reviews based on a combination of 1 ) the reasonableness of a hospital ’ s regulated cost structure , 2 ) how reasonably charges are related to costs , and 3 ) performance in total cost of care , both historically and while under the TCOC Model . Hospitals ’ relative cost efficiency is assessed using the Inter - Hospital Cost Comparison methodology , which evaluates the cost per case of providing healthcare after adjusting for hospital - specific drivers of healthcare costs – such as the costs of providing graduate medical education and the costs associated with complex socio - economic determinants of health . Hospitals may appeal the HSCRC ’ s ruling if they believe that the decision does not align with the HSCRC ’ s enabling statute or the State ’ s Administrative Procedure Act . The HSCRC can also review many of these same factors in circumstances other than a Full Rate Review .

Maryland

2026-05-02