Experiences With Maryland’s All-Payer Model Among Surgeons
In this mixed-methods study of surgeons' experiences, surgeons reported high awareness of Maryland's APM, but integrated findings revealed limited operational understanding, inconsistent institutional communication, and indirect effects on practice. Implementing alternative payment models may require more deliberate engagement of clinician stakeholders, clearer communication strategies, and alignment of clinical incentives.
Authors
- Sheri Slezak
- Heather Parnell (ORCID: https://orcid.org/0000-0002-2681-6505)
- Laura A. Petrillo (ORCID: https://orcid.org/0000-0002-8721-4858)
- Oluseyi Aliu (ORCID: https://orcid.org/0000-0002-0228-5666)
- Amit Kumar Jain (ORCID: https://orcid.org/0000-0002-9983-3365)
- Ronnie Labib Shammas (ORCID: https://orcid.org/0000-0001-5468-8646)
- Aviram M. Giladi (ORCID: https://orcid.org/0000-0001-7688-957X)
- Margaret Falkovic
- Nancy L. Keating (ORCID: https://orcid.org/0000-0002-8274-4681)
- Laura J. Fish (ORCID: https://orcid.org/0000-0002-7296-3063)
- Christina Makarushka
- Anaeze C. Offodile (ORCID: https://orcid.org/0000-0002-5169-4589)
- Babak J. Mehrara
- Evan Matros
Institutions
- University of Maryland, Baltimore (US)
- Brigham and Women's Hospital (US)
- Allegheny Health Network (US)
- Memorial Sloan Kettering Cancer Center (US)
- Harvard University (US)
- Johns Hopkins University (US)
- MedStar Union Memorial Hospital (US)
- Massachusetts General Hospital (US)
- Duke Institute for Health Innovation (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2026-01-07
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.52815
- Primary Topic
- Healthcare Policy and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Memorial Sloan-Kettering Cancer Center
- Centers for Medicare and Medicaid Services
- National Cancer Institute