The Hilltop Institute periodically posts news items and issues electronic bulletins to disseminate information about Hilltop activities and publications. Below are the three most recent. Go to the News and Bulletin Archive, below, to view previous posts.
Hilltop Publishes Annual Report of its Work for the Maryland Department of Health and Mental Hygiene
The Hilltop Institute has published an annual report of activities and accomplishments under the memorandum of understanding it has with the Maryland Department of Health and Mental Hygiene (DHMH) for fiscal year (FY) 2014 (July 1, 2013, through June 30, 2014). Hilltop's interdisciplinary staff provided a wide range of services, including Medicaid program development and policy analysis; HealthChoice program support, evaluation, and financial analysis; long-term services and supports program development, policy analysis, and financial analytics; and data management and web-accessible database development. Hilltop has been providing services to DHMH for over 20 years, and this state/university partnership has received national acclaim. Read the report.
Hilltop Researchers Co-Author Study on Limits of Health Communication Letters to Sickle Cell Patients
Hilltop Senior Research Analyst Michael T. Abrams, MPH, and Policy Analyst Carl H. Mueller, MS, are co-authors of a new study published in the Journal of Pediatrics titled Transcranial Doppler Screening of Medicaid-Insured Children with Sickle Cell Disease. The work was conducted in collaboration with researchers at Johns Hopkins and University of South Carolina medical schools under the direction of David G. Bundy, MD.The study found that letters to parents and doctors of children with sickle cell disease (SCD) did not succeed in increasing their use of a simple screening technique (transcranial Doppler imaging: TDI) for stroke risk, even as children with SCD are known to be at markedly heightened risk for stroke. The research, conducted largely at The Hilltop Institute, used Medicaid administrative data to identify a calendar year 2010-2011 cohort of individuals aged 2-16 years with SCD. Researchers measured 6-month post-letter TDI use in a group of 117 subjects whose parents and doctors were sent letters, and in a comparison group of 433 subjects who were not targeted by that mailing. Pre-intervention, annualized screening in the full SCD cohort (n=829) was just over 23 percent. Six-month follow-up on those who did not receive screening in the pre-intervention period was 7.2 percent in the group receiving the mailing and 8.6 percent in the comparison group. This difference was non-significant after adjusting for numerous covariates. Accordingly, this work reveals that a single mailing to parents and providers is not a sufficient method for increasing TDI use in youth with SCD. One important correlate that did emerge from this work is that specialist visits (e.g., to a hematologist) did significantly increase the use of TDI irrespective of the mailing. This incidental finding suggests that referral to a sickle cell specialist is more effective than referral for a specific procedure to address this serious illness, at least in terms of receiving important preventative screening. For more information, contact Hilltop team lead Michael Abrams (email@example.com).
The full reference for this work is: Bundy, D. G., Abrams, M. T., Strouse, J. J., Mueller, C. H., Miller, M. R., & Casella, J. F. (2015). Transcranial Doppler screening of Medicaid-insured children with sickle cell disease. Journal of Pediatrics, 166(1), 188-90. doi: 10.1016/j.jpeds.2014.09.018.
The pubmed citation and abstract can be accessed here: http://www.ncbi.nlm.nih.gov/pubmed/25444529
Bulletin: IRS Issues Final Rules for Charitable Hospitals under the Affordable Care Act
On December 31, 2014, the Internal Revenue Service (IRS) published final rules implementing the “Additional Requirements for Charitable Hospitals” section of the Affordable Care Act (ACA). These rules relate to tax-exempt hospitals’ community health needs assessments (CHNAs); financial assistance policies (FAPs); and hospital charges, billing, and collection practices.
Read the Bulletin for a summary of the rules.