The Medicaid Long-Term Services and Supports in Maryland Chart Book, Volume 1, The Autism Waiver is the first in a series that explores service utilization and expenditures for Medicaid-funded long-term services and supports in Maryland. This chart book provides information about Maryland Medicaid participants who received services through the Autism Waiver in fiscal years (FYs) 2012 to 2016.

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Hilltop staff presented at the 2019 AcademyHealth Annual Research Meeting (ARM). On June 3, Senior Director of Analytics and Research and Chief Data Scientist Ian Stockwell, PhD, presented this poster, which summarizes the work he led to identify factors found in clinical and functional assessment tools that increase the risk of a future nursing home (NH) admission and apply those risk-scoring coefficients to individuals on Maryland’s Home and Community-Based Services (HCBS) waiting list.

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Hilltop staff presented at the 2019 AcademyHealth Annual Research Meeting (ARM). Senior Policy Analyst Charles Betley, MA, presented this poster at both the State Health Policy Interest Group Meeting on June 1 and the ARM on June 3. This poster summarizes the work Betley led to analyze Mississippi Medicaid claims data and quantify the financial impact of tobacco use on Mississippi’s Medicaid program.

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Hilltop staff presented at the 2019 AcademyHealth Annual Research Meeting (ARM). Director of Health Reform Studies Laura Spicer, MA, and Senior Policy Analyst Alexis Smirnow, MPH, gave this podium presentation about the potential of implementing Small Business Health Options Program (SHOP) in Maryland at the State Health Policy Interest Group Meeting on June 1.

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This report describes the services The Hilltop Institute provided to the Maryland Department of Health (the Department) under the Master Agreement between Hilltop and the Department. The report covers fiscal year (FY) 2018 (July 1, 2017, through June 30, 2018). 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.

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This report presents to the Center for Mississippi Health Policy the results of a model for estimating tobacco-related costs for Mississippi Medicaid participants using administrative claims data for calendar years (CYs) 2016 and 2017. Tobacco-related costs were estimated to be $388 million in 2016 and $396 million in 2017. This report describes the various methods that were used to develop these cost estimates.

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The Maryland Community Health Resources Commission (CHRC) aims to expand access to health care for low-income Marylanders and underserved communities and increase the capacity of the state’s health care safety net infrastructure to deliver high-quality, affordable health care. The CHRC sponsors a grants program that has awarded 210 grants totaling $64.1 million since its inception. In spring 2016, the CHRC contracted with Hilltop to assess the programs of four selected 2016 grant recipients: Potomac Healthcare Foundation, Lower Shore Clinic, Garrett County Health Department, and Baltimore City Health Department. The objective of the assessments was to determine the extent to which the programs had an impact on health services utilization and costs for participating Medicaid beneficiaries. This summary report discusses Hilltop’s assessment methodology, limitations, and key findings.

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Hilltop staff presented at the 2018 AcademyHealth Annual Research Meeting (ARM) in Seattle in June. Senior Policy Analyst Shamis Mohamoud, MA, gave this podium presentation, which provided an overview of Hilltop’s evaluation of the Maryland Health Home Program.

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Hilltop staff presented at the 2018 AcademyHealth Annual Research Meeting (ARM) in Seattle in June. Policy Analyst MaryAnn Mood, MA, presented this poster about Hilltop’s study regarding the gradual implementation of Community First Choice (CFC) in Maryland. CFC is an optional Medicaid state plan program authorized by the Affordable Care Act (ACA) that enables states to provide home and community-based services (HCBS) to Medicaid-eligible individuals through their state plan and receive a 6 percent increase in their federal match.

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This issue brief, published by the Commonwealth Fund, analyzes trends in paid and unpaid personal care and expenditures under a model Medicaid Community First Choice (CFC) program in Maryland. This brief highlights enrollment trends and costs per participant and concludes that a targeted benefit for Medicare beneficiaries could have a stable per-person cost and augment support from family and other unpaid caregivers, although take-up could increase over time to meet unmet need. Hilltop’s Cynthia Woodcock, Ian Stockwell, and Kaitlyn Whiton were contributing authors.

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