ɪn tˈuː θˈaʊzənd fˈoːɹtiːn, mˈɛɹɪlˌænd sˈɛt ˌʌp ɐn ˌɪndᵻpˈɛndənt kəmˈɪʃən wˌɪtʃ kɹiːˈeɪɾᵻd ɐ fˈɪkst ɹˈɛvənˌuː sˈɪstəm, ɔːɹ ɡlˈoʊbəl bˈʌdʒɪt fɚðə stˈeɪtz hˈɑːspɪɾəlz.
In 2014, Maryland set up an independent commission which created a fixed revenue system, or global budget for the state's hospitals.