What We Do

The cost of medical care in the United States, and in Maine, has been rising steadily over the past several decades, far outstripping the rate of inflation.  Employer-sponsored health insurance premiums rose 50% from 2003 to 2010, and employer-based health insurance costs have far exceeded increases in wages, rising three times faster than employee pay just from the start of the decade.In addition, the care that employers and patients within our health care system are paying for is continuously ranked below other industrialized nations in quality (37th in the World).2 According to the Institute of Medicine, patients in the US only receive the care that experts recommend (care that is appropriate, effective, and safe) about half of the time.

The Maine Health Management Coalition believes that these issues in our health care system need to be addressed now for our state to be prosperous, and that true health care reform can only be achieved through a comprehensive, system-wide approach.  We believe that by measuring and reporting on the quality of health care services, aligning provider payments and insurance design with meaningful quality metrics, and engaging patients in their healthcare, we will be able to improve patients’ experience of care, the health of Maine’s population, and reduce per capita costs.



1. Schoen C, Fryer A, Collins S, et al. Realizing Health Reforms Potential: State Trends in Premiums and Deductibles, 2003-2010: The need for action to address rising costs. The Commonwealth Fund, November 2011.

2. World Health Organization Assesses the World’s Health System. http://www.who.int/whr/2000/media_centre/press_release/en/. Accessed 1/20/2013

3. Steven M. Asch, M.D., M.P.H., Eve A. Kerr, M.D., M.P.H., Joan Keesey, B.A., John L. Adams, Ph.D., Claude M. Setodji, Ph.D., Shaista Malik, M.D., M.P.H., and Elizabeth A. McGlynn, Ph.D. Who Is at Greatest Risk for Receiving Poor-Quality Health Care?. N Engl J Med 2006; 354:1147-1156. March 16, 2006. DOI: 10.1056/NEJMsa044464