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 Quoted in Healthcare Journal of Little Rock
Hilltop Executive Director Cynthia H. Woodcock was interviewed for and quoted in an article in the May-June 2015 issue of the Healthcare Journal of Little Rock titled The Cost of Caring by John W. Mitchell. The article focuses on the tension for nonprofit tax-exempt hospitals between requirements that they provide community benefits and the financial costs to them of providing expensive life-saving treatments, all while remaining financially viable. Woodcock discussed that under the Affordable Care Act and the new 501r Final Rule, hospital billing and collection practices have improved for patients, and that increases in coverage have afforded increased access to healthcare. The article also referenced the Hilltop Hospital Community Benefit Program’s State Law Profiles, which present a comprehensive analysis of each of the 50 state's community benefit landscape as defined by its laws, regulations, tax exemptions, and, in some cases, policies and activities of state executive agencies. Click here to read the article.
Hilltop’s Work on Supported Employment for Persons with Mental Health and Substance Use Disorders Presented in Spain
New results generated by a team of UMBC researchers (from The Hilltop Institute, the Department of Public Policy, and MIPAR) recently revealed that persons with serious mental illness (SMI) who also have co-occurring substance use disorders (SUD) appear less likely to use or benefit from programs designed to help them find work and stay employed. Based on careful Maryland Medicaid and public mental health system data exploration from the mid-2000s when “place and train” supported employment (SE) programming efforts were expanded in the state, researchers found that SE uptake rates were on the order of 1.6 to 2.8 percent among those with SMI and SUD, whereas the analogous range was significantly higher at 4.1 to 4.7 percent for those with SMI only. Moreover, among persons receiving SE at some point, follow-up data into the years 2007-2010 indicated that rates of employment for the co-occurring group was only 19 percent compared to 29 percent for the SMI group without SUD. Future work will consider apparent antecedents to these disparities toward the development of strategies to increase SE uptake among persons with SMI and SUD. Additional work will look at uptake correlates and strategies more broadly.
This research was lead by Dr. David Salkever (UMBC Department of Public Policy) with funding support from the U.S. National Institute of Mental Health. Dr. Salkever presented these results at an April 2015 meeting in Barcelona, Spain. Hilltop Senior Research Analyst Michael Abrams, MPH, was a co-investigator on this work, and most of the analytic data set creation took place at Hilltop. For more information about this research, contact firstname.lastname@example.org.
Presentation Citation: Salkever, D., Gibbons, B., Abrams, M., & Baier, K. (2015, April 15). Disparities in access to and effectiveness of evidence-based supported employment for persons with co-occurring serious mental illness (SMI) and substance use disorder (SUD): Evidence from a state-wide policy intervention. Fourth International Congress on Dual Disorders. Barcelona, Spain. View the presentation.
Hilltop Partners on New RWJF-Funded Research Grant Measuring Impact of Non-Clinical Interventions on Health and Costs
Hilltop is a partner with Benefits Data Trust (BDT), the Maryland Departments of Health and Mental Hygiene (DHMH) and Human Resources (DHR), and the Johns Hopkins University School of Nursing on a newly funded research grant from the Robert Wood Johnson Foundation to measure whether specific non-clinical interventions–such as enrollment into federally funded public benefit programs–improve health outcomes and reduce health care costs. The research team will study the impact of SNAP (food stamps) and home energy assistance on community-dwelling older adults eligible for both Medicare and Medicaid (dual-eligibles) residing in Maryland—a particularly vulnerable population with high health care costs. This research will provide a roadmap to understanding the true impact that safety net programs have on health care outcomes. For more information, contact Mike Nolin.