Maryland’s all-payer model, value-based reimbursement, health system scale, AI, rural care, and health equity- Mark Shaver and Roy Bejarano unpack what makes the University of Maryland Medical System one of the most unique healthcare platforms in the U.S.

In this episode of Analyzing Healthcare, Roy Bejarano, CEO at SCALE Healthcare, speaks with Mark Shaver, Chief Strategy Officer at the University of Maryland Medical System, about how Maryland’s regulated reimbursement model changes the economics, strategy, and mission of care delivery.

A strategic conversation for healthcare veterans, payors, investors, health system leaders, and U.S. healthcare enthusiasts interested in what sustainable care delivery could look like beyond traditional fee-for-service economics.

What You’ll Learn

✅ Why Maryland’s all-payer model is unlike any other state healthcare market

✅ How global budgets change hospital margin, growth, and access strategy

✅ Why value-based care is built into Maryland’s reimbursement structure

✅ Why Medicare Advantage adoption is much lower in Maryland

✅ How UMMS balances public-private partnerships, mission, and scale

✅ Why advanced therapies must also address health equity

✅ How AI and virtual care are moving from hype to practical systemwide use

✅ Why rural workforce development is central to healthcare transformation

Key Timestamps

• (00:03) Introduction to Mark Shaver and UMMS

• (01:42) “For-profit mindset and nonprofit heart”

• (03:41) Why nonprofit healthcare needs business discipline

• (06:36) Maryland’s all-payer reimbursement model

• (08:53) Value-based care built into the system

• (12:39) Global budget: stability vs. innovation capital

• (22:30) Low Medicare Advantage adoption

• (40:22) Specialty care closer to the community

• (45:42) CAR-T therapy, multiple myeloma, and health equity

• (48:03) AI, virtual care, and workflow value

• (50:04) Rural workforce development

Key Takeaways

• 💎 Maryland’s all-payer model changes how hospitals think about margin, access, and growth.

• 💎 Value-based care in Maryland is not a pilot—it is built into reimbursement.

• 💎 Global budgets create stability but can limit surplus capital for innovation.

• 💎 Low Medicare Advantage adoption changes primary care and payer strategy.

• 💎 UMMS is focused on bringing specialty and advanced care closer to communities.

• 💎 AI and virtual care are becoming practical tools, but leaders must separate hype from real workflow value.

• 💎 Workforce development is a major lever for rural healthcare transformation.

Guest Bio

Mark Shaver is Chief Strategy Officer at the University of Maryland Medical System, where he leads enterprise strategy across one of Maryland’s most important healthcare platforms. With experience across nonprofit health systems, Welltower, Johns Hopkins, and earlier Wall Street roles, Mark brings a unique mix of growth strategy, operating discipline, and mission-driven leadership. His work spans systemness, ambulatory strategy, rural transformation, academic partnerships, AI, virtual care, and care delivery innovation across Maryland’s all-payer healthcare environment.

Resource Links

Guest: Mark Shaver – Chief Strategy Officer, University of Maryland Medical System

Host: Roy Bejarano – CEO & Co-Founder, SCALE Healthcare

Podcast: Analyzing Healthcare by SCALE Community

SCALE Community: ⁠https://www.scale-community.com⁠

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